Online Forms

Please fill out the appropriate form for your child. (Signature’s can be signed with a touch pad.)

3-18 YEAR ROUND PROGRAM APPLICATION

“Language/Literacy Achievers”

All year round speech program for ages 3-18 yrs

  • Year round

  • 3-18 yrs

  • Free Program

ONLINE FORM

SUMMER PROGRAM APPLICATION

“Summer ‘FUN’damentals” for Children 3-5 years  

A Special Program of the Erickson Foundation at the Santa Rosa RiteCare® Childhood Language Center

  • 5 weeks

  • Small Group Sessions

  • Free Program

ONLINE FORM

BIRTH-TO-3-PROGRAM APPLICATION

“Little Language Learners”

High-quality early intervention of speech and language development can make a big difference for a child.

  • On going

  • One on One treatment

  • Free Program

ONLINE FORM
ADMISSION GUIDELINES