Please fill in the required information below

Child's First Name:

Child's First Language:

English French Other

Child's Date of Birth:

Was your child born prematurely (before 37 weeks of pregnancy)?:

YES NO

Postal Code:

Are you a professional supporting a family?:

YES NO

...

You did not enter a postal code from our region and are not eligible to complete the interactive Communication Checkup. If you live in the region and believe this is an error, contact 800-555-1234 for technical support.

For a detailed list of all Preschool Speech and Language programs in Ontario, visit http://www.children.gov.on.ca/htdocs/English/earlychildhood/speechlanguage/locations.aspx .