Welcome!

Thank you for your interest in speech therapy services with InterAACtive Speech Therapy, LLC!

We provide individualized speech-language evaluations, therapy, consultation, and parent coaching for children and young adults throughout Arizona.

Please complete this form if you are interested in receiving services through Private Pay, ESA/ClassWallet, HSA/FSA, or another self-pay option.

Important Information

Submitting this form does not guarantee placement with a therapist or the start of services.

Therapist assignment is based on several factors, including:

• Therapist availability

• Your child's location

• Scheduling compatibility

• Clinical needs

• Provider expertise

Once your form has been reviewed, our office will contact you regarding current availability, next steps, and scheduling options.