Prior to your first appointment with us, we request all applicable paperwork be completed ahead of time. Based on all of the information needed, we suggest you get started about a week before your first appointment. You may send these items to our office via fax, email, or mail.

Getting Started Checklist

Here are all of the items we need prior to starting therapy.

  • Prescription from your child’s primary care physician with ICD-10 code and frequency of visits.

  • Current Evaluation – Speech therapy evaluations within the last 12 months.

  • Play on Speech Case History Form – Please contact Play on Speech for access to this form.

  • Play on Speech Privacy Policy – Please contact Play on Speech for access to this form.

  • Insurance/Medicaid:

    • Insurance Information – Please provide a copy of the front and back of your insurance card for primary and any secondary insurance.

    • Insurance Preauthorization – Please check with your insurance company to see if they require preauthorization (if preauthorization is required, you will need to go through this process prior to beginning therapy).

    • Medicaid Information – If applicable, a copy of Medicaid card.

Have questions? Check our Frequently Asked Questions or contact Play on Speech directly.


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(719) 373-3933

(719) 434-9627 (fax)

Colorado Springs, CO

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