ACR Speaking Dimensions

Getting Started with ACR Speaking Dimensions

What You Need To Start Therapy:

  1. Have Pediatrician Referral faxed to 470-219-5336 that reads “Evaluate and Treat Speech Therapy” with your child diagnostic codes
  2. New Patient Intake Packet with HIPAA Acknowledgement and Attendance Policy
  3. Online Therapy Consent Form
  4. Current Individualized Education Plan/Program (IEP) or Individual Family Service Plan (IFSP) (if available)
  5. Specialist reports (if applicable) from: Neurologists, Developmental Pediatricians, Psychologists, Ear Nose and Throat (ENT) doctors, etc.
  6. Hearing Screening/Evaluation with results in Hertz required for PeachState or Amerigroup

Insurances Accepted

  • Blue Cross Blue Shield
  • Georgia Department of Community of Community Health
  • Aetna
  • Ambetter
  • Peach State Health Plan
  • Allwell
  • CareSource
  • Amerigroup
  • Health Smart Complete
  • TRICARE Select, Reserve Select, and TRICARE for Life patients

Patient Forms

Patient Intake Packet

Patient Intake Packet

Attendance Policy

Attendance Policy

Privacy Practices

Privacy Practices

Teletherapy Consent Form

ACR Online Speech-Language Consent Form