Do you know of someone we can help? Simply download the prescription, complete, sign, and fax it to our clinic at (936) 327-2491. Our intake coordinator will be available to answer questions and help you through the process!

Reminder the following information is required by most Medicaid payors:

• A visit documenting concerns

• ASQ  or PEDS (if applicable)

• Hearing Screening or OAE (for speech referrals)