• Contact Information
  • Your Communication Journey
  • Schedule your introductory call
1. Contact Information

Step 1 of 3

First, let’s get your basic details so we can get in touch for your introductory phone call.

This brief form will take just 2 minutes to complete.

Do you have health insurance?


Great! Now, help us learn more about your communication goals and concerns.

2. Communication Journey

Step 2 of 3

Almost done!

Are you seeking services for you or a loved one?

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State of Residence

What services seem most relevant for your needs? (select all that apply)

What are your most important speech therapy goals?

On average, speech therapy is about $130 per week. Are you able to invest that amount? (We do accept HSA and FSA.)

Thanks for sharing all your info! Let’s schedule your introductory phone call.

3. Schedule a call

Step 3 of 3

Schedule Our Introductory Phone Call

Choose a day and time that works best for you to chat with a team member:

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    We have received your complimentary consultation form, scheduled on ***. A Great Speech team member will review the completed form on a phone conference with you prior to your scheduled online consultation.

    Your online complimentary consultation will be administered via secure video conference and can be accessed from any laptop or computer with microphone and webcam capabilities.

    A plan of care and payment options will be discussed during your call.

    Sincerely,

    The Great Speech Team

    Tailored, effective, convenient speech therapy that fits around your life.

    How did you hear about us?

    For assistance completing this form, please call us at +1-954-247-8757 between 8am and 6pm EST.