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School-Based Speech Pathology Screening

Kindergarten to Year 1 Screening Assessment Program

- Information and Permission Form -

Helena College Junior School is pleased to offer a speech screening and assessment service provided by Kids Club Pathology. The screening is offered to all Kindergarten students and new students to Helena College in Pre-Primary and Year 1. Speech pathology screening in Kindergarten to Year 1 is highly recommended to identify children at risk of developmental delay at this critical age.

With your permission, your child will be seen for a brief speech / language assessment soon after commencement, on campus and within school hours, and is paid for by the College.

The screening will include a brief evaluation of your child’s receptive language skills (answering questions, following instructions), semantics, listening skills, expressive language skills (narrative, grammar, social language) as well as their production of speech sounds, fluency and voice.

This process provides parents and staff with an insight into any areas of speech and / or language development which may need to be monitored; as well as providing the class teacher with more detailed information to assist individual programming in language and pre-literacy lessons at school. It also allows for recommendations for further Speech Pathology intervention where indicated, with a therapist / at a clinic of your choice.

The screening will take place during the first semester of 2025. Closer to the designated screening date, a detailed Parent/Carer Questionnaire and Consent Form will be provided to you (from Kids Club Pathology) for completion and return to your child’s teacher.

If you are in agreement, please complete the below consent.

Email:

Your First Name:

Your Surname:

Child's Name:

Childs's Date of Birth:

Child's Year Level (in 2025):

Please advise your consent:

I have read and understand the above information and give permission for my child to be assessed by a qualified Speech Pathologist.

I have read and understand the above, however, I DO NOT wish for my child to be assessed.

Please note, by advising your consent you understand that the appointment will be an assessment only, will take place at the school, and will be paid for by the College.

After the speech pathology screening has been completed, the speech pathologist will send a copy of your child’s report to the school for you and your child’s teacher. If further assessment or therapy is recommended for your child after screening, the speech pathologist will provide further information and tips on how to improve your child’s skills at home and school.

If you have more than one child commencing at Helena College in 2025 in Kindergarten to Year 1, please submit a separate form for each child.

JS | School-Based Speech Pathology Screening Form