Appointment/Evaluation Request
Authorization to Disclose Medical Records
*Fill out the following forms ONLY if you have an appointment scheduled
We are an in-network provider for:
Tricare
We do not accept any other insurances or health plans.
Private (Cash) Pay: Give us a call or fill out our contact form for current rates: 719-999-8417.
We have created this worksheet to help you determine if your health plan will cover therapy. We strongly encourage you to use this when calling your insurance company, it will help avoid possible problems
Worksheet: Does my Insurance Cover Speech Therapy