Beetle and Hare Pediatric Speech Therapy

Beetle and Hare Pediatric Speech Therapy Send Message

Your info

First name

Last name

Email

Phone

Client's info

Is the client a minor?

Yes No

First name

Last name

Email

Phone

Reason for care

What is your primary area of concern for your child?

Language Articulation Stuttering AAC Other

What services are you interested in?

Evaluation and Individual Therapy Early Language Classes Advocacy Services Not Sure Yet

Administrative

Referral source

If applicable, we'd love to know who referred you to us.

Billing & Payment

Insurance Carrier

Blue Cross Blue Shield of Texas Baylor Scott and White Healthcare Highways Private Pay Other

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Client Preferences

Preferred Appointment Times

Morning Afternoon Evening Weekend

Preferred Meeting Location

Is there anything else that you would like to share with us?

For example: what you'd like to focus on, insurance or payment questions, etc.

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If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

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