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.
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.