Initiate Services / Forms
Please take a moment to complete our questionnaire to help us determine if your child will benefit from speech and language therapy services.
Please Complete The Following Steps To Successfully Initiate Services:
1. Contact your insurance company to verify if there would be coverage for the services your child needs. Questions to ask include:
If there is coverage, are there any exclusions?
Do I have a co-payment or is there a percentage of the bill I will be responsible for?
Does my plan require a deductible be paid for the calendar year before the coverage begins?
Does my insurance plan cover only a limited number of sessions for each calendar year?
Is there a requirement that I get a prior authorization and/or a referral/order from my physician before I see a clinician?
2. Obtain order/referral from your child's physician if you haven't already.
The following form is provided for your convenience if you do not yet have a referral:
3. The following forms must be completed and turned in prior to the first scheduled appointment:
If you have any questions please give us a call at (360) 630-8734 or send us an email.