Sound Beginnings is a private, in-home speech therapy practice specializing in the evaluation and treatment of children ages 12 months to 12+ years in Midlothian/Chesterfield, VA and nearby surrounding counties.

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Acknowledgement of Receipt of Privacy Practices

By filling out and submitting this form, I hereby acknowledge that I have received a copy of the Notice of Privacy Practices of Sound Beginnings Speech Therapy Services and that I have had the opportunity to read the notice and to have any questions answered.

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Parent/Guardian's Name

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