Forms

New Patient Forms and Welcome Packet

Welcome to Speech Therapy Solutions!

Thank you for entrusting Speech Therapy Solutions with your child’s speech-language and/or feeding goals. We appreciate your decision to choose us as your partner in helping your child achieve these important milestones.

Our new patient paperwork packet contains essential information about our therapeutic process, including financial, attendance, and privacy policies. Please take the time to complete the forms as accurately as possible to enable us to create the most effective treatment plan for your child. If your child has undergone recent assessments by other healthcare professionals, such as an audiologist or ENT, please provide copies to ensure we have a comprehensive understanding of your child’s needs.

Completed form packets, along with a copy of your insurance card, can be electronically signed, printed, and brought to the initial visit, or emailed to lisa@speech-ts.com.

We are excited to embark on this journey with you and your child!

*Click the “Welcome Packet” button below to open the link in a new window. Once opened, click the down arrow in the right-top corner of the screen to download or click the printer icon to print our Welcome Packet and New Patient Forms.

Our Wake Forest, NC Location:

Our Raleigh, NC Location:

Our Garner, NC Location:

Physician/Practitioner Referral Form

To start the referral process, practitioners can simply fill out the form below and leave us a message with their contact information and any pertinent details. If you have any questions or need further clarification, please feel free to reach out to us. Keep in mind that the “name” block in the form refers to the name of the practitioner making the referral. Thank you for considering Speech Therapy Solutions for your patient’s needs.