Get Started — Lilypad Speech & Language Therapy

Parent / Guardian Name *

Child's First Name *

Child's Date of Birth *

Your Email *

Phone Number

Best way to reach you

What are your main concerns? (check all that apply)

Does your child currently receive any services?

No Yes — through school (IEP) Yes — private therapy Yes — multiple services

Scheduling preferences (select all that work)

Anything else you'd like us to know?

Early Intervention services are funded by New York State for children birth through 2 years, 11 months. Lilypad is not currently enrolling for Early Intervention — but fill out the form below to get on our list and we'll notify you as soon as spots open. You can also join our email list to stay in the loop.

Parent / Guardian Name *

Child's First Name *

Child's Date of Birth *

Your Email *

Phone Number

Best way to reach you

Has your child been referred to Early Intervention yet?

Yes — we already have an IFSP We've been referred but not evaluated yet No — we're just starting out I'm not sure

What are your main concerns? (check all that apply)

Not talking yet Hard to understand Feeding / picky eating Social connection Following directions I'm not sure

Scheduling preferences (select all that work)

Weekday mornings Afternoons Evenings Flexible

Anything else you'd like us to know?

Parent / Guardian Name *

Child's First Name *

Child's Age *

Your Email *

Phone Number

Which program are you interested in? (select all that apply)

Baby Babble Talking Toddlers Other Programs Just let me know about all future programs!

Additional programs may include music therapy, yoga for neurodivergent individuals, and other specialty offerings throughout the year. We'll keep you posted!

Anything else on your mind?

💬

When you're not quite sure what your child needs, a quick call is the fastest way to get clarity. Book a free 15-minute call directly, or leave your info below and we'll reach out — no commitment required.

📅 Book a free call

Or fill out the form below and we'll contact you.

Your Name *

Your Email *

Phone Number

Best way to reach you

What's on your mind? (optional)

Your Name *

Credentials

Your Email *

Phone Number

Current setting (select all that apply)

What kind of support are you looking for? (select all that apply)

Tell us more about what you're looking for

Lilypad speaks to schools, libraries, parent groups, and professional organizations. Fill out the details below and we'll follow up with availability and a custom quote.

Your Name *

Organization *

Your Email *

Phone Number

Organization type

Estimated audience size

Format preference

Preferred date(s) or timeframe

Topic of interest or anything else we should know