Fort Memorial Hospital
611 Sherman Avenue East
Fort Atkinson, WI 53538
(920) 568-5000 | La linea de mensajes: (920) 568-5001

Speech Kids

(Please note that this video was filmed PRIOR to COVID-19)

REGISTRATION INFORMATION

  • Register your child for this activity by selecting the session below and filling out the pertinent information.
  • Please submit a completed Health Intake Form (additional link and instructions below) before June 1, 2021. (En Español)

HEALTH INTAKE FORM INSTRUCTIONS

En Español

AFTER you have registered for this class session, please:

  1. Download and save the Health Intake Form pdf file to your computer or mobile device. (En Español)
  2. Open the pdf file from the place that you saved it.
  3. Fill out the form fields.
  4. Save the file with a new name.
  5. Attach the new pdf file into an email message and send it directly to annie.loof@forthc.com.

DOWNLOADS

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