Referrals

Thank you for your referral!  Please note:  

  • All referrals are followed up within 1-2 business days. 
  • Most evaluations are scheduled within 1 week of referral, unless otherwise requested by client or MD.
  • All services are provided in-home for client convenience. 
  • Many services are covered by Medicare Part B.
  • Private Pay accepted, receipts available for out-of-network reimbursement.  
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Mobile Speech Therapy

In-home speech therapy services provided throughout
the Greater Green Bay area INCLUDING:

Green Bay, De Pere, Howard, Suamico, Ashwaubenon, Bellevue, Ledgeview, Hobart, Wrightstown.

Email: Beth@SpeechSpark.com
Phone: 920-403-0103
Fax: 888-631-0117
Fax must include:

  • Orders for Speech Therapy Eval and Treat
  • Patient Name, date of birth
  • Patient phone number
  • Patient concerns (reason for order)
  • Referring MD name and contact information

Beth will contact the client to set up an evaluation appointment.  After the initial evaluation, Beth will follow up with MD regarding plan of care.

THANK YOU for your referral!

 

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You may also complete a Contact Request Form

Your Name *
Your Name
Who is the potential client? *
Phone *
Phone
Preferred contact method *
Contact information is used ONLY to contact you regarding your request
Choose reason for needing speech therapy