Get Started with Therapy

Interested in getting started with therapy?

This is the place to start....and getting started is sometimes the most anxiety-filled and scary part! So good job to you. ;)

Note that it generally takes Miss Emily a couple days to get back to new client inquiries.

If you don't hear back, please feel free to text Miss Emily directly at 616-510-4234. Keep in mind that this practice is run by Miss Emily, a solo practitioner who is also a busy mom doing the best she can to grow her business and family. All attempts are made to respond to new client inquiries in a timely manner, but feel free to follow up if you don't get the response you were looking for.

* Indicates required field

Your Name *

First

Last

Child's Name (if applicable) *

First

Last

Your Relationship to the Child *

Client's Age *

What are your concerns for your child, or why are you reaching out? *

Do you want to use medical insurance to cover these therapy services? *

Yes No Not sure No preference

Has your child ever been previously evaluated/screened by a speech therapist, or have they received speech/language/feeding therapy before? *

Your Email *

Your Phone Number *

Your Preferred Method(s) of Communication *

Text Email Phone Call

What questions do you have for me? Anything else you would like to share? *

How did you hear about Emily and/or High 5 Speech Therapy? If it was a specific person, FB group, website or professional colleague, please name names so I can properly thank them! *

Check This off Your To-Do List! Woo-hoo!

Interested in getting started with therapy?

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