Speech and Language Screenings - Bayshore Christian School

Speech and Language Permission and Request Form

Speech & Literacy Solutions, LLC conducts speech/language screenings for K2 through 8th grade students attending Bayshore Christian School at parent request. The cost for the screening is $50. The screening will encompass the following area(s):
Articulation: Is your child difficult to understand or does he/she sound immature for his/her age? Do you hear errors in their speech you are concerned about?

Language: Does your child follow directions and understand the language of those speaking to her/him? Does your child have difficulty with vocabulary, comprehension, concepts or academic learning?

Fluency: Does your child stutter?
If you are interested in having your child’s speech and language skills screened, please complete the form below. You will receive a follow-up phone call, or a letter will be sent home to you notifying you of the results. If you have any questions or concerns, please contact us at:
Speech & Literacy Solutions, LLC
Stephanie Zalich MS CCC-SLP
813-503-1823
szalich@verizon.net
Child Name *
Child Age *
Child DOB *
Child Grade *
Child's BCS Teacher *
Area(s) wished to be screened
Articulation Language Fluency
Speech and Language Concerns *
Language(s) spoken at home (other than English)
Parent/Guardian Name *
Address *
Address 1
Address 2

City

State

Zip
Parent/Guardian Contact Number *
I hereby give consent to have my child screened by Speech & Literacy Solutions, LLC. I further authorize Speech & Literacy Solutions, LLC to discuss the results with my child’s teacher.
Parent/Guardian Signature *
Today's Date *
Enter Your Email Address: *

Stephanie Zalich attended the University of South Florida where she earned a Bachelor of Science (B.S.) degree in Communication Sciences and Disorders and a Master of Science (M.S.) degree in Speech-Language Pathology. She holds the Certificate of Clinical Competence in Speech-Language Pathology from the American Speech-Language-Hearing Association and is licensed to practice speech pathology in the state of Florida.

Stephanie provides private diagnostic and therapeutic services to clients with a variety of speech-language delays and disorders. She specializes in reading therapy for students with Dyslexia and/or students with reading delays. Stephanie is passionate about reading instruction and is a certified provider of the Lindamood Bell Seeing Stars, Lindamood Bell LiPS, and TLC Lively Letters programs. She is also certified in Dynamic Temporal and Tactile Cueing (DTTC) for Apraxia treatment. She provides intervention services for children ages 5-14.

Stephanie lives in South Tampa with her husband, two boys, and crazy dog, Wiley.