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(603)-893-8550

Getting Started
To get started with Speech Therapy Solutions, some information must be obtained, including:

  1. Current referral/prescription from your doctor
  2. Insurance information including a copy of your current insurance card(s) (front and back)
  3. Please read the cover letter for instruction (.pdf)
  4. Patient Registration Form (.pdf)
  5. Child Case History Form (.pdf)
  6. Adult Case History Form (.pdf)
  7. Consent to Treat Form (.pdf)
  8. Financial Agreement Form (.pdf)
  9. Notice of Privacy Practice (.pdf)




Contact Us

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