

New Patients
Thank you for choosing NW Speech Therapy. We look forward to meeting you and your family!
Prior to your childs evaluation, please download, print and complete the Case History form and have it available for the evaluation (If needed, the forms can be emailed or mailed upon request). This saves time and allows us to focus on what is most important.....your child!
If you have the time and ability to send it in prior to your child's first session it will save time during the initial session. You can do this by faxing to 1-888-844-0883 or emailing as an attachment to This email address is being protected from spambots. You need JavaScript enabled to view it.
We would also appreciate a copy of any prior evaluation reports that can help us better diagnosis your child. These reports can be sent in to the email or fax above.
If your appointment is in-office please note that you will be heading to either the Vancouver or Portland office. For directions click here.
Click here to make a scheduling request.
Case History Form Under 5 years
Case History Form 5 years and older
Please print and fill out the following form if your child has LESS THAN 50 WORDS. This form gives us a good idea of what common words your child uses and/or understands.