Facilitated Play Dates & Individualized Support

Some children need a bit of extra support when it comes to developing confidence and ease in social situations. We’re here to help.

In-School Push In

A Social City therapist joins your child at school to support their individual needs and to help facilitate positive social interactions.

Speech & Language Therapy

Individual sessions focus on receptive, expressive and/or pragmatic language skills. They can take place at your child’s school, remotely, or at home. The therapist will create an individualized plan to support your child's language!

Play Dates and Individualized Support Form 3 2

Parent/Caregiver's Name

First Name

Last Name

Phone

(###)

###

####

What services are you interested in?

In-School Push In

Speech & Language Therapy

Facilitated Play Date

Observation & Consulting

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Address or general vicinity in which the child lives:

Child's School

Child's Grade

Reason for referral

Please describe (in detail) any behavioral concerns:

If your child demonstrates physical aggression and/or challenges with impulse control/self-regulation, please describe (in detail) what this looks like, so that we can make the most appropriate recommendation for your child. If none, please write "none".

How did you hear about Social City?

Observations & Consulting

A Social City therapist will observe students in their classroom environment and provide feedback related to expressive, receptive, and pragmatic/social-emotional skills.

*New: Facilitated Play Dates

A Social City therapist comes to your house to provide individualized support during a play date.

Facilitated Play Dates & Individualized Support

In-School Push In

Speech & Language Therapy

Observations & Consulting

*New: Facilitated Play Dates

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