Sacramento Childhood Language Center Forms

Sacramento Rite Care Childhood Language Center Forms and Application Process 
The following forms must be completed and returned to this Center before any review of the child’s file can begin. Forms may be submitted by email, fax or US Postal Services. Forms are not formatted for online completion.

Additional Forms Upon Request

Speech & Language Therapy Questionnaire – is to be completed by a treating speech/language pathologist. When available, please submit copies of any reports pertaining to the child’s language. 

Teacher Questionnaire – is to be completed by classroom teacher.  Please include copies of assessment reports, Individual Education Plans (IEP) and psycho-educational assessments when available. 

6151 H Street Sacramento, CA 95819

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