Kelley Elementary School
Colorado ISD
Speech-Language
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PPCD SCREENING
Speech
Screening of children for Speech and Language difficulties for possible placement in the PPCD Program for the PPCD Program
Parent Name
Child Name
Address
Phone Number
Difficulty with Speech-Language Skill
Screening for Speech-Language skills
Expressive Language Skills
Receptive Language Skills
What difficulties does the child display?
Does he/she have difficulty comminicating wants and needs.
Does he/she communicate with words of gestures most of the time?
Does he/she have a vocabulary of at least 50 words?
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