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Welcome to our practice

Getting Ready For Your First Session

Before your first visit, please download, review, and complete the forms below. 

Payment

Alison Moulton Speech, Language, and Learning is a private pay practice. We accept payment in full at the time of service. We do not accept insurance and are considered to be an “out-of-network” provider. We can provide you with a superbill, when requested, if you would like to seek out reimbursement for our services. Call us today to discuss important questions to ask your insurance provider.

Section 2799B-6 of the Public Health Service Act requires health care providers and health care facilities to inform uninsured patients or patients who elect not to file a claim with their insurance (self-pay patients) both orally and in writing at the time health care services are scheduled, or upon request, a Good Faith Estimate of the anticipated cost of the health care items and services.

Frequently Asked Questions

 

How Long Will My Child Need Speech Services?

Following your child's initial evaluation, we will discuss recommendations regarding the length and frequency of therapy sessions. This is dependent on each child and family’s unique needs. 

What Is The "Right Age" To Start Speech and Language Services?

NOW! Research shows that the earlier a child begins services, the better their outcomes will be. We do not recommend the "Wait and See" approach and follow the "Check and See" approach. Early intervention is key and extremely effective. If you have specific concerns that you would like to discuss with us, please reach out! We would be happy to speak with you.

 

 

Where Are Services Provided?

 

We come to you! Alison Moulton Speech, Language, and Learning PLLC provides all sessions in the child's home, daycare, preschool, private school, and/or via telepractice. We love being able to provide therapy in your child's natural learning environment and provide opportunities for you to be involved in your child's therapy sessions.

 

 

My Child Did Not Qualify For Services At Their School. Does That Mean That They Do Not Need Speech Therapy? 

No, not necessarily. When children do not qualify for speech and language services at school, it means that they did not meet specific eligibility criteria for the public school system. School-based services are available for the purpose of helping children access their educational curriculum and children must demonstrate an educational need for those services. For example, your child may be demonstrating difficulty producing words with /s/, but the school team has determined that it is not impacting your child in class. A private speech and language evaluation can be initiated whenever there is a concern regarding any aspect of your child's speech and language development. 

My Child Did Not Qualify For Early Intervention Services. Does That Mean That They Do Not Need Speech Therapy? 

No, not necessarily. When children do not qualify for speech and language services through Early Intervention, it means that they did not meet specific eligibility criteria set forth by each state. For example, in the Commonwealth of Virginia, a child must be functioning at least 25% below their chronological or adjusted age in one of the named developmental categories, demonstrate atypical development or behavior, or have a medical diagnosis that is a high probability of resulting in a developmental delay. The thing is, though, not being 25% delayed does not mean "typical development" and your child may benefit from speech and language therapy in order to foster their development. A private speech and language evaluation can be initiated whenever there is a concern regarding any aspect of your child's speech and language development. 

If My Child Has An IEP, Can They Receive Speech Therapy With You?

Yes! We have many families who choose to receive private speech therapy in addition to school-based services. There are many benefits to pursuing private speech therapy! We provide personalized, 1:1 therapy sessions, as opposed to group therapy sessions. We can provide longer and more frequent therapy sessions. You are able to be an active participant in your child's sessions. We are able to collaborate with other providers (e.g., pediatricians, ENTs, dentists, school-based speech-language pathologists, occupational therapists, special education teachers, general education teachers) in order to maximize your child's progress toward their goals. Additionally, some families choose to do private speech therapy during the summer in order for their child to continue to make progress while school is out.

 

 

What Is Orofacial Myofunctional Therapy?

 

Orofacial myofunctional therapy is an individualized program used to correct the improper function of the tongue and facial muscles. It involves teaching individuals how to get their tongue and orofacial muscles to the appropriate position in order promote optimal orofacial and dental development through specialized exercises. We also work with children to help eliminate oral habits that could be impacting their speech, such as thumb or finger sucking, pacifier use, and nail biting.

 

Orofacial Myofunctional Disorders (OMDs) may be caused by poor oral habits (like those listed above!), upper airway obstruction, tongue ties, structural or muscular differences, dental issues, and/or genetic components.

 

OMDs may present as:

  • Open mouth posture at rest

  • Mouth breathing during the day and/or at night

  • Drooling

  • Dental abnormalities

  • Atypical swallowing patterns

  • History of tongue tie associated with feeding difficulties

  • Speech sound production difficulties.  

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New Patient Phone Calls

We offer free 15-minute phone calls for new patients. During this phone call, you will have the opportunity to tell us about your child, ask any questions you may have about their speech, language, and/or learning development, and inquire about scheduling an initial appointment.