• Appointment Request

  • Complete this short form and we will give you a call within one business day to set up an appoitment/evaulation and gather any other information we need.

    All information submitted on this form is transmited over a secure connection and stored on a HIPAA-compliant server.

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  • A doctor's referral is required for us to submit to your insurance. Contact the patient's primary doctor and have them send us a referal for speech therapy. Our fax number is 719-452-3520.

  • A Tricare Authorization is required for us to submit to Tricare. Contact the patient's primary doctor and have them enter a Tricare authorization for speech therapy with Sprout Therapy Services as the provider. If you have any questions about this, give us a call.

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