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Parents New/Expecting

First Steps Speech Consults

Please fill out the form below in order to have your child have a speech consult.  Speech consults are $60 each and are available for baby under 24 months.  Please select your top 3 options that will work with your schedule.  If any time will work for you please indicate that below. Once you sign up and we recieve your payment we will confirm your appointment time.  You will also be sent an intake form that will need to be completed prior to your appointment. If you have any questions please contact info@clubtwentyone.org.  

We look forward to working with you and your child!

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Available Dates:

Please check the time that you would prefer. You will receive a confirmation email with your specific date/time.

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Visa MasterCard American Express Discover
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? Visa®, Mastercard®, and Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.
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