Providing superior, professional, family centered speech, language, and cochlear implant intervention services.

(817) 460-0378

denise@denisegage.com
Specializing in
Aural Habilitation

Fees / Forms

/ About Us / Fees / Forms

Fees

Fees for services are based on an hourly rate. Check with your medical insurance as many insurance policies cover speech and language evaluation and therapy. Please call the office if you have specific questions concerning insurance coverage.

We encourage you to contact us if you have any questions or would like more information about us and our services.

See Fast ForWord? information page for fees specific to that program.
Or click here to download? Fast ForWord Fees (2015)

Forms

All forms are in Adobe .PDF format. To download any given form, click on the form you want below. If you don’t already have the Adobe Acrobat Reader, or if you have an older version, you will need to download (completely free) and install (full instructions at the download site) the latest version of Acrobat Reader.

 

Child Case History
Adult Case History
Office Policies
HIPPA?
Policy Acknowledgement
Financial Responsibilities
Permission for Observation
Fast ForWord? and Reading Assistant? Questions & Answers
Release of Records
Reading Assistant Fees

Denise Gage, MA, CCC, Cert. AVT
817-460-0378
817-469-1195 (fax)

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