If you are a child (8+) or older please click this link to fill out the new patient paperwork.
You will need your insurance card for this step.
Once we receive your paperwork we will contact you to schedule.
If you are a child (0-8 years) please click this link to fill out the new patient paperwork.
You will need your insurance card for this step.
Once we receive your paperwork we will contact you to schedule.
• Prescription from pediatrician (maybe needed for insurance – Typical Dx Codes are: R13.11, R47.89, Q38.1 if needed)
• Any pertinent paperwork (i.e. IEP, Evaluations, Swallow Study, etc.)
• Cups and/or bottles that are regularly used with something to drink
• A variety of food that the patient will eat crossing different textures such as a banana and pretzels (if age appropriate)
You can make a payment in several easy ways. You can log into www.therabill.com, you can contact the office to charge the card on file or pay by cash or check.
You can call the office with your questions. You can contact the Billing Department at 708-468-4070 ext 827
Please contact us via phone or text at 331-465-9440 or via email at simplycommunication@speechandmore.com
725 E. Irving Park Rd. Suite C, Roselle, IL 60172
We are located on the back side of the building.
If you are a private pay patient, you do not need a referral from a doctor. You will, however, need a prescription from your medical doctor or a doctor’s referral letter to make a claim through insurance.
Simply Communication, Ltd. is a preferred provider for most Blue Cross Blue Shield of Illinois PPO plans. While we are out of network with most other insurances, we will bill your insurance on your behalf. Simply Communication, Ltd. provides a discount to patients that pay at the time of service. Please call us at 331-465-9440 for an up-to-date fee schedule.
You can use this link to sign in: https://hipaa.jotform.com/221104305163136
No need to check your email! Just come to our website and navigate to the teletherapy services page. You can find the name of your therapist, sign in, and then it will put you in the therapist’s waiting room.