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FAQ Therapy
Do you accept insurance?

Therapy is private pay as we do not accept insurance at this time. We can provide a superbill that you can submit to your insurance company for potential reimbursement. Please check with your individual insurance provider to determine if they cover speech-language therapy. Payment is due in full at the end of each session.

What is the cost of therapy? 

The cost of therapy is $120 per hour of service, so a typical 30-minute session fee is $60. Sessions that are 45 minutes in length are $90.

How will I be billed for services?

We use a secure therapy practice management software that includes billing, appointment scheduling, and online intake forms. You will receive bills via the email on file and pay bills through your assigned account.

What forms of payment are accepted?

We accept debit, credit card, FSA, and HSA payments. 

What is the cost of an evaluation and what does the evaluation entail?

Speech Only Evaluations are 60 minutes: $250

Comprehensive Evaluations are 90-120 minutes: $480


Evaluations include a combination of standardized test measures, speech-language samples, parent/client interviews, informal testing, observation, and review of previous medical or therapy records. A comprehensive written report will be completed within 7-10 of the completion of the evaluation. This results and report will be reviewed with the family through an online teleconference or a phone call, and is included in the evaluation fee.

Do I need a referral? 

Since we are a private pay practice, no referral is required.

What is your attendance and cancellation policy?

A minimum of twenty-four (24) hours notice is required for cancellations and rescheduling requests.  However, we do understand that illnesses and emergencies happen suddenly and may require a last-minute notification.  We do NOT encourage attendance during an illness. A more comprehensive attendance policy will be provided and signed prior to the start of the first session.

What happens if we miss a scheduled session?

Missed sessions are considered “no shows” and are charged the full session rate.

Where will services be provided?

Services are provided online using a secure HIPAA-compliant video conferencing platform.  Please note, for licensing purposes, to receive teletherapy speech-language services, you must reside in the states of Massachusetts , New York, or Florida.   In-Person Evaluations and in home  Speech-Language Services are now available in  Plymouth Ma.  Contact us to schedule!

Is an evaluation required prior to services beginning?

Yes. We will accept evaluations completed within the past year; however, if the evaluation is not detailed enough or did not assess all areas of concern, a new evaluation will need to be completed. If your child has not had an evaluation, we will need to complete an evaluation prior to starting therapy. 

How long will therapy last?

The length of therapy is dependent on many factors such as the type and level of the impairment, guardian support (related to completed homework and reinforcement of skills), and client engagement and motivation.

How do you determine when the child is ready to be discharged from therapy services?

Client progress is monitored on an ongoing basis, and reassessments of deficit areas are administered during the course of treatment.

How do I initiate an evaluation and/or therapy? 

Please call or text us at (508)293-1799 to schedule a free consultation.

We do not live in Massachusetts, New York, or Florida. Can we still get online speech-language therapy from The Vocalfort?

For licensing purposes speech-language therapy and speech-language evaluations can only be provided to New York and Massachusetts residents. 

 What does CCC-SLP mean?

CCC-SLP refers to Certificate of Clinical Competence in Speech-Language Pathology from the American Speech-Language and Hearing Association (ASHA).  According to ASHA "Those who have achieved the CCC—ASHA certification—have voluntarily met rigorous academic and professional standards, typically going beyond the minimum requirements for state licensure. They have the knowledge, skills, and expertise to provide high quality clinical services, and they actively engage in ongoing professional development to keep their certification current."

Lexercise FAQ


What intervention do you use for treating  dyslexia and reading & spelling therapy?

The Vocalfort uses Lexercise Structured Literacy™ which is based on Orton-Gillingham and is recognized by the International Dyslexia Association (IDA).  To learn more about IDA, visit  To learn more about Lexercise™, contact us for a free consultation.

I am concerned about my child's reading, should I wait and see if the skills develop? 

The Vocalfort offers comprehensive language-literacy evaluations that can help to identify the underlying weaknesses in phonological processing vocabulary, and comprehension that may be impacting your child's reading abilities.  Lexercise also offers full dyslexia evaluations which you can register for here.  


However, If you have concerns about your child's reading abilities we urge that you do not wait to seek help.  Your child does NOT need a diagnosis to begin  Structured Literacy therapy.   Schedule a consultation today to get started.   Screenings that help us determine your child's skill strengths and weaknesses are integrated into the Lexercise therapy.  Sign up to get start Lexercise with Stephanie here.

I would like to learn more about Lexercise. How can I begin?

You can request a free consultation with The Vocalfort.  You can also visit the Lexercise website to learn more about how the program works.  

Is dyslexia therapy different from speech-language therapy?

Yes, dyslexia therapy is an educational service and is NOT considered speech-language therapy. 

Do I have to live in Massachusetts or New York to receive dyslexia therapy from The Vocalfort?

No, dyslexia therapy is an educational service, it is NOT a speech-language therapy service; therefore, we can see clients worldwide as long as they have a strong internet connection and a laptop or desktop computer.

How does a Structured Literacy curriculum, such as Lexercise™, differ from tutoring?

Structured Literacy instruction is the umbrella term used by the International Dyslexia Association (IDA) to describe evidence-based curriculums and approaches. Structured Literacy instruction is a systematic and direct way of teaching students to read and write. In contrast, tutoring involves reteaching previously learned materials, helping students prepare for exams, or teaching students specific concepts. 

Can I request reimbursement for dyslexia therapy from my insurance company?

Unfortunately no, dyslexia therapy is classified as an educational service and NOT speech-language therapy and is not considered a medical issue. 

Is the cost of therapy tax deductible?

Please contact an accountant/tax preparer to determine if you qualify for this deduction. Please note that a physician’s recommendation is required if your tax preparer determines that you may qualify.

How much does Lexercise™ Structured Literacy therapy cost?

The Vocalfort fee for Lexercise Structured Literacy is $450 per 4 weeks of instruction. This is considered  “Professional Therapy” on the Lexercise platform. Learn more here 

Professional therapy includes  the following: 45 minutes of direct instruction once weekly with Stephanie,  assigned access to daily customized client practice on the Lexercise platform, as well as, guardian practice activities. Sample the client practice games here

I can’t afford this therapy. Is there a less expensive version?

Yes.  Lexercise™ offers a parent-directed version which is referred to as Basic Therapy. You can learn more about the basic plan here.   We can provide additional information and help you get set up for basic therapy if you schedule a free consultation with us.  While we will not provide direct therapy with your child if you sign up for basic therapy, we will be available as a contact person to answer questions that arise.  

I have more questions. How can I contact The Vocalfort to learn more about structured literacy?

Please call The Vocalfort directly to speak to Stephanie at (508)293-1799 or send Stephanie an email at to set up a consultation.

I would like more information about dyslexia in general. Do you have links to more resources?
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