Red Head Baby

PARENTS/CAREGIVERS

We look forward to hearing from you and learning more about your child.  Please complete + send us this form to get started with services.

Toy Shop

OTHER SERVICE PROVIDERS

If you are an Early Interventionist, Service Coordinator, Physician or other Professional needing to refer a client to a Licensed Speech Language Pathologist, We're here for you!

1. Download the Form Below

2. Fill Out the Form Completely

3. Attach a Prescription for ST evaluation and treatment

4. Fax the Form to us directly:

(843) 582 - 0259

*if you can't fax the form please email us via a secure platform.

Little Girl Reading in Bed

WE APPRECIATE YOU

Thank you in advance for taking the time to complete this process.

 

We hope to serve your client soon.

We serve Horry and Georgetown Counties of South Carolina and are always welcoming referrals.