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Treatment Options for Children with Cleft Palate Speech

July 29, 2026Speech & Language Disorders

An Integrated Approach to Pediatric Cleft Palate Speech Therapy Cleft palate is the second most common birth defect in the United States, impacting approximately 7,000 newborns annually Treatment of Speech Sound Errors in Cleft Palate. Many of these children develop unique speech profiles, including compensatory articulation patterns and resonance issues, which require experienced clinical guidance. […]

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How Structured Therapy Helps Children Express Needs

July 29, 2026Speech & Language Disorders

Empowering Children Through Targeted Communication Support At Pediatric Communication Solutions, we believe every child deserves the tools to express their inner world with confidence. Our team of specialists provides evidence-based therapy in Oklahoma City designed to help children overcome speech and language barriers while fostering emotional growth and social connection. Effective intervention combines clinical expertise […]

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Building Stronger Communication Skills for Your Child

July 28, 2026Parental ResourcesSpeech & Language Disorders

Foundation of Connection and Growth at Home At Pediatric Communication Solutions, we recognize that children are born with an innate desire to connect with the world around them. Establishing strong communication skills is a fundamental human need that directly impacts a child’s quality of life and sense of belonging. When children can effectively share their […]

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Helping Children Overcome Expressive Language Delays

July 27, 2026Speech & Language Disorders

Understanding the Path to Confident Communication Early identification of speech and language delays is essential, as prompt professional support significantly improves a child’s long-term social and academic outcomes Late Language Emergence. While some children may catch up on their own, delays in Language Disorders often persist without targeted intervention, leading to increased frustration and potential […]

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Supporting Children Facing Significant Language Delays

July 24, 2026Speech & Language Disorders

Recognizing the Importance of Early Language Support Speech and language delays represent the most common developmental challenge among children, affecting an estimated 5% to 12% of children aged two to five years in the United States. While many toddlers are labeled late talkers, early identification through developmental surveillance is a critical protective factor that helps […]

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Recognizing the Early Indicators of Childhood Apraxia of Speech

July 23, 2026Parental ResourcesSpeech & Language Disorders

Understanding Childhood Apraxia of Speech Childhood Apraxia of Speech is a neurological disorder where the brain struggles to plan and coordinate the muscle movements required for clear speech. Unlike conditions involving muscle weakness, such as dysarthria, children with this motor speech disorder have physically capable lips, jaw, and tongue but lack the brain-to-mouth connection necessary […]

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Strategies for Parents Handling Picky Eating Habits

July 22, 2026Parental Resources

Understanding the Normalcy and Complexity of Selective Eating Picky eating is a developmentally normal phase for many children between the ages of two and four. Often functioning as a biological impulse to avoid potentially unsafe items, this behavior frequently emerges as a child’s rapid growth rate from infancy slows down. Data suggest that parental perception […]

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Picky Eating Versus Pediatric Feeding Disorders Explained

July 22, 2026Feeding & SwallowingSpeech & Language Disorders

Recognizing the Boundaries of Picky Eating and Feeding Disorders For many families, navigating mealtime can feel like a complex challenge. Picky eating is often a normal developmental phase that peaks in the preschool years as children exert control and navigate food neophobia. During this time, it is common for toddlers to show temporary disinterest in […]

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Setting Goals for Successful Speech Therapy Sessions

July 21, 2026Parental ResourcesSpeech & Language Disorders

Why Goals Matter in Speech Therapy Setting clear objectives is the foundation of effective speech therapy. Without a structured path, therapy can lack the focus needed to address specific communication, feeding, or language challenges. Goals transform broad aspirations into a manageable, actionable roadmap that guides both clinicians and families toward measurable success. When you choose […]

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How Receptive Language Delay Affects Daily Communication

July 20, 2026Speech & Language Disorders

Recognizing Challenges in Understanding Spoken Language At its simplest level, receptive language is the vital ability to comprehend the words, gestures, and ideas conveyed by others. It serves as the primary foundation for all human interaction, allowing children to connect spoken concepts to the world around them. Unlike expressive language, which is the act of […]

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NEW PATIENT INFORMATION PACKET

"*" indicates required fields

929 E. Britton Rd
Oklahoma City, OK 73114
4331 Adams Rd
Suite 111
Norman, OK 73069

PATIENT INFORMATION

Date of Birth*
Gender*

PARENT / LEGAL GUARDIAN INFORMATION

Parent / Legal Guardian's Address*
Parent / Legal Guardian*
Parent / Legal Guardian
Does the child live with both parents?

INSURANCE INFORMATION

We will need a copy of the insurance card in order to file a claim.
Insurance or Self-Pay?*
Policy Holder*
Policy Holder's Date of Birth*
I have a secondary insurance.
Policy Holder
Policy Holder's Date of Birth

CASE HISTORY

Did your child pass his/her newborn hearing screening?
Has your child had a hearing screening or evaluation within the past year?
Do you have any specific concerns regarding your child's hearing / ears?
How does the child usually communicate? (check all that apply)
Is the child’s speech difficult to understand?

PRENATAL AND BIRTH HISTORY

Is the child adopted?
Is the child in foster care?
Type of delivery?

DEVELOPMENTAL HISTORY

Please list the approximate AGE your child achieved these developmental communication milestones:
babbled
use of gestures
first word
2-word phrases
simple sentences
 
Please list the approximate AGE your child achieved these developmental motor milestones:
sat alone
crawled
fed self
walked
toilet trained
 

CURRENT SPEECH, LANGUAGE, & HEARING

Does your child understand what you are saying?
Does your child retrieve/point to common objects upon request?
Does your child follow simple directions?
Does your child respond correctly to yes/no questions?
Does your child respond correctly to who/what/where/when/why questions?
Does your child have difficulty producing speech sounds?
Does your child frequently stutter when trying to speak?
Does your child communicate with words more often than gestures or crying?
Does your child speak in 2-4 word sentences?
Does your child make eye contact with you/other people?
Does your child become easily distracted?
Check all behavioral characteristics that describe your child:

MEDICAL HISTORY

My child is allergic to (select all that apply):

Child's general health is:

EDUCATIONAL HISTORY

Does your child have an:
Does your child attend Daycare?
Does your child attend a Mother’s Day Out program?

ADDITIONAL INFORMATION

PEDIATRIC COMMUNICATION SOLUTIONS, INC. POLICIES AND PROCEDURES

INFORMED CONSENT*
I HAVE READ, UNDERSTAND AND AGREE TO PEDIATRIC COMMUNICATION SOLUTIONS INC.’S POLICIES AND PROCEDURES.

CREDIT CARD AUTHORIZATION FORM

Pediatric Communication Solutions, Inc. is committed to making our billing process as simple and easy as possible, We require that all patients keep a valid credit card on file with our office. Payment is due at the time of service.
Cardholder's Name*
Enter the 3 digit code on the back of the card
Is the billing address for the credit card entered the same as the home address entered above?*
Billing Address
Enter the billing address associated with the credit card entered.
INFORMED CONSENT*
As the legal guardian and guarantor on the account, I authorize Pediatric Communications Solutions, Inc. to charge my credit / debit card entered for charges associated with the evaluation, therapy sessions and no-show fees. I understand that my payment information will be securely saved in my file for future payments.
INFORMED CONSENT*
I consent to Pediatric Communication Solutions, Inc. (PCS) staff and its affiliates using any telephone numbers (including cell phone/wireless numbers), email addresses, and other electronic communications I provide to PCS for appointment, referral, treatment, billing, debt collection, and other purposes related to my/my child’s care. This includes phone calls, voice messages, text messages, emails, and other electronic communications. If I discontinue use of any phone number provided, I shall promptly notify PCS and will hold PCS and its affiliates harmless from any expenses or other loss arising from any failure to notify. I understand that standard text messages, unencrypted emails, and other electronic communications that I send and receive from PCS may flow through networks that are not secure and may be at risk of exposure of my health information (for example, the message could be intercepted and viewed by an unauthorized third party). In addition, once the text, email, or other electronic communication is received by me, someone may be able to access my phone, applications, digital devices, or email accounts and read the message. I understand that it is my responsibility to make sure that only authorized people are allowed to access my email, phone messages, cell phone, and digital devices. I understand these risks and give permission to PCS to communicate with me via wireless/cell phone, text message, unencrypted email, and other electronic communications. I authorize PCS to utilize the following communication methods with me.
APPROVED COMMUNICATION METHODS:*

PATIENT LIABILITY FORM

This form is to inform you that certain speech-language pathology services may not be covered under your commercial insurance policy due to plan exclusions or benefit limitations. While we will make every effort to verify and bill your insurance appropriately, coverage is ultimately determined by your insurance provider.
THIS INSURANCE AGREEMENT (THE “AGREEMENT”) IS MADE AND ENTERED INTO BETWEEN (“LEGAL GUARDIAN”) AND PEDIATRIC COMMUNICATION SOLUTIONS, INC.*
ACKNOWLEDGMENT*
I have read and understand the above statements. I acknowledge that I am financially responsible for any speech-language pathology services not covered by my insurance provider.
PARENT / LEGAL GUARDIAN'S NAME*
TODAY'S DATE*

Call: (405) 438-0090

Fax: (405) 493-0717

office@pcs-ok.com

You’ve found your home for pediatric speech therapy in OKC – and we’re glad you’re here! Learn about our supportive, relaxed and friendly environment focused on connecting with you to ensure the best outcomes possible for your child.

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