Scheduling an appointment for you or your loved one is an easy process.
Please print the appropriate forms (below) and fax or email them to us, along with a photocopy of the front and back of your driver's license and insurance card(s). Our administrative team will call to verify your insurance coverage. Once that's complete, we will call you to schedule your evaluation. After the evaluation, our therapist will make recommendations regarding therapy and treatment programming.
Please print and complete the appropriate form(s), make front/back copies of your driver's license and insurance card(s), and send to firstname.lastname@example.org
General Child Case History
General Adult or Adolescent Case History
Fluency Child Questionnaire 12 and under (only complete if stuttering is a concern)
Fluency Adolescent or Adult Questionnaire 13 and up (only complete if stuttering is a concern)
Voice Case History Supplement (only complete if being seen for a voice evaluation)
We accept all insurances; however we are in network with these insurance carriers:
As payment, we accept all major credit cards, checks, and cash. If paying by cash, please bring exact payment as we are unable to make change.
Our New-Patient Process