Referrals

Thank you for working with Lifetime Speech and Stuttering Therapy, LLC. We look forward to providing the best possible service to you and your families. We are dedicated to working with our referral partners so you rest assured that you will receive immediate attention and the answers that you need right away.

How to refer your patient

  • Option 1:  Download our referral form below, then complete/fax the referral form and the required medical records (including ICD-10, allergies and medications, order for evaluation and visit note documenting need for services) to +1 (303) 219-2513.

  • Option 2: Complete referring information for contact and fax your office referral form and required medical records (including ICD-10, allergies and medications, order for evaluation and visit note documenting need for services) to +1 (303) 219-2513.

Process for Referrals:

  • Complete our Referral Form and attach required medical records by one of the options listed above

  • Once we receive the referral, we will respond to you within 5 business days to confirm the patient qualifies for services

  • Private Insurance and/or Medicaid will be verified

  • Lifetime Speech and Stuttering Therapy will schedule an initial evaluation with the Parent/Caregiver

  • The evaluating therapist will recommend frequency of services and schedule visits

  • Therapy services will begin after the physician signs the plan of care and authorization is received from insurance company and/or Medicaid

If you are affiliated with a physician’s office and would like to submit a referral, along with medical records (including ICD-10, allergies and medications, order for evaluation and visit note), please complete the form below:

Referral form doc.x download

Referral form PDF download

Fax number: +1 (303) 219-2513