Please complete the following forms and return to us at your earliest convenience. Should you have any difficulty accessing or submitting the forms, please don’t hesitate to call us at (303) 360-0727.
We would be happy to assist you in determining eligibility for speech therapy services under your health care plan. Simply complete the online Insurance Verification Form, and we will be in touch with you within 1-2 business days.
We also have a printable version of this form that that you can fax or mail directly to us. Once your form is filled out and saved to your computer please print it and fax/mail it to us.
Please disregard this form if you don’t plan to access any benefits.
The Pediatric History Form assists us in allocating the appropriate amount of time for your initial appointment as well as matching your child with a therapist. Please complete the online Pediatric History Form, and we will be in touch with you shortly to schedule an appointment.
We also have a printable version of this form that that you can fax or mail directly to us. Once your form is filled out and saved to your computer, please print it and fax/mail it to us.
The following forms can be printed and brought with you to your child’s first appointment:
Insurance Billing Policy
If mailing/faxing forms, please send to:
Lowry Speech Therapy
7701 E. 1st Place, Suite D
Denver, CO 80230
If you have any questions about the forms or process, please don’t hesitate to Contact Us.