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Cheryl D. Lindsay, M.S., S-LP

Speech & Language Assessment and Treatment for Children & Adults

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Forms



Release of Information(pdf)




Payment Agreement (pdf)


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Intake & Forms

  • Child Intake Form
  • Adult Intake Form
  • Release of Information & Payment Agreement (PDF)
  • Privacy Policy
  • Telepractice Consent (PDF)
  • Client/Patient Screening COVID-19 Questionnaire
  • Therapist Locations
  • Working Plan for:

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Location

Cheryl D Lindsay, M.S., S-LP 
Reg. CASLPO 3618

323077 Durham Rd E
Box 10
Durham, ON
N0G 1R0

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Contact Us

Tel: 519-369-4233
Fax: 519-369-6849

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