How to Schedule

Scheduling is easy. Follow these simple steps to complete the scheduling process.

1

Patient Information

Provide a copy of the patient's face sheet or insurance cards (both are better if possible)

2

Complete Intake Form

Download the paper form or complete our online scheduling form. An additional signature page must be signed when using the online form.

3

Doctor's Order (Conditional)

A signed Doctor's order is required for Texas Healthspring patients, or if the facility SLP does not sign the intake form.

Submit Your Documentation

After collecting and completing the above documentation, you can submit via:

Fax

(877) 676-6277

Mobile

Use a scanner app to capture and submit

Recommended Scanner Apps

For smartphone or tablet submissions, we recommend these scanner apps:

iPhone/iPad

Genius Scan

Android

CamScanner