Open

Monday-Thursday: 9:00 a.m. to 5:00 p.m.

HSP Intake Forms

​Accepted Insurance

HSP accepts most major insurance plans. As a courtesy, we can call your insurance company to verify coverage for therapy in our office.

 

 Benefits quoted by an insurance representative are not a guarantee of payment and at times, can be quoted incorrectly.

 

We encourage you to call your insurance company prior to your first appointment to verify that you are covered for therapy in our office. We also accept Auto and L & I claims from insurance companies. Private Pay rates are available upon request.

Both the adult and pediatric intake packet include a "release of information" page. We do not require you to fill this out, but suggest that you complete the release page if you'd like us to obtain information from or communicate with another provider you or your child has seen.

 

Click the links above to view and/or print the intake paperwork for your first appointment. You may bring paper copies to your appointment, fax or mail the completed paperwork, or scan and e-mail a completed copy to our office.

Other Helpful Sites

Click on the links below for more information to help guide your therapy.

What you should bring to your first appointment:

• Insurance card or claim information

• Intake Forms filled out and printed from home

• Referral from your doctor

Traumatic Brain Injury

Cognitive Training

S​peech-Language-Hearing

Outdoors For All

Posit Science

P​ediatric

Teach Me To Talk

U.S. Department of Defense TBI

Gig Harbor Office

5202 Olympic Drive NW  Suite #100

Gig Harbor, WA 98335

Phone: (253) 851-0007

Fax: (253) 514-8261

Email: info@harborspeech.com

Monday-Thursday: 9:00 a.m. to 5:00 p.m.

Friday: Limited Administration Hours

Saturday and Sunday: Closed

Port Orchard Office

1230 Bay Street Suite #100

Port Orchard, WA 98366

Phone: (360) 876-1717

Fax: (253) 514-8261

 Email: info@harborspeech.com

©  2017  HarborSpeechPathology