We come to you!

Fill out our interest form reachable by clicking "Get Started! Fill out our interest form!" at the top of any page on the website.

All new patient inquires must go through the interest form. 

You can call us at:

(503)421-8629

Fax us at: 

(888)425-0586

Email us at: 

hello@inreachspeech.com

Our mailing address for correspondence is:

205 SE Spokane St Ste 320, Portland, Oregon 97202

 Fax referrals to (888) 425-0586

1. Individuals will be contacted and guided to complete the online interest form (accessible above).

2. Faxed referrals will be linked to the individual's interest form in our files.

 Click the link below for a great resource explaining how insurance coverage works- from deductibles to copays/coinsurances. 

REMEMBER: You can always reach out to us with any questions about this!

(503)421-8629

hello@inreachspeech.com 

https://inreach.notion.site/How-Does-Insurance-Coverage-Work-550c101d57464e3398ae36690f19f430

• MODA 
• Providence
• Care Oregon
• Pacific Source 
• BlueCross BlueShield 
• Oregon Health Plan (OHP)

We are out of network for all other plans, and we offer out-of-network billing! 

NOTE: At this time, we are unable to accept Aetna; however, we can provide you with guidance and support for submitting a superbill for reimbursement from your plan. 

Please understand that your costs for out-of-network coverage may be higher than in-network.  We can help you understand the difference during your initial consultation. Click "Get Started!" above, enter your information, and we will provide a benefit summary when you are matched with a clinician on our team.

 Please note: While we DO bill secondary Medicaid coverage, we do NOT bill secondary commercial insurance.

If you have two commercial insurance coverages, we can provide you with a monthly superbill to submit to your secondary insurance plan to seek reimbursement. A superbill is a document that contains all necessary information for the insurance company to process a claim.

Simply call the phone number on the back of your insurance card for secondary commercial coverage and let them know you would like to submit superbills for them to reimburse you for any residual charges not covered by your primary insurance.  

Great!! We will give you a call to help get you added to the waitlist as soon as we receive it!

All new patient inquires must go through the interest form even if you have a referral. 

When we receive referrals via fax, we will reach out to the patient or caregiver and direct them to fill out our interest form (located at the top of any page on the website). We then attach your referral to your page on our waitlist to utilize when we match you with a clinician on our team.

For all other inquiries, you can call us at:

(503)421-8629

Fax us at: 

(888)425-0586

Email us at: 

hello@inreachspeech.com

Our mailing address for correspondence is:

205 SE Spokane St Ste 320, Portland, Oregon 97202

Check out our coverage maps!

https://inreachspeech.com/treatment-areas

Our team is skilled in a multitude of treatment areas. 

Broadly, our respective treatment areas are listed below by discipline. 

Please inquire if you are not sure which area of need best matches with your concerns.

Speech therapy: 

- expressive/receptive language

- fluency and stuttering

- articulation, phonology, apraxia

- feeding/swallowing

- AAC (assistive and augmentative communication)

- cognition, memory, executive functioning

- social pragmatics

Occupational therapy:

- sensory processing

- fine motor

- coordination and balance

- visuo-spatial skills

- sensory feeding

- emotional processing

- attention processing

Treatment sessions include more than direct treatment! 

According to the American Medical Association, the organization in charge of service code functions, therapy service codes entail many tasks:

(1) direct treatment
(2) patient/caregiver education for the home exercise plan
(3) interpretation of progress
(4) documentation
(5) session planning

This means direct treatment is only a portion of the full duration of the appointment to ensure that all other associated tasks can be completed well and according to best practice. 

 You may be invited to participate in all five of the components of a treatment session. Depending on the patient's need, your therapist may determine that documentation outside of the home immediately following the session is the best plan of action to promote continued regulation without the abrupt presence of a screen. 

There are many ways these five components of a therapy session can be reordered to individualize patient and family needs. If you have any questions about the flow of a session, please don't hesitate to discuss this with your therapist or reach out to our admin team by calling the main office line!

Your therapist will arrive at a private home or school to provide a social model of neurodiversity-affirming care. As neurodiversity-affirming therapists, we will never attempt to address behaviors that are innately part of an individual. In other words, we will never attempt to 'train out' targeted behavioral manifestations of neurodiversity, as is sometimes seen in applied behavioral analysis. 

• We respect bodily autonomy and will never attempt to focus on compliance alone.
• We value rapport with the patient over traditional authoritarian expectations for behavior.
• We presume competence- that the child has the capacity to understand, think, and learn regardless of what we can observe.
• We utilize a strengths-based approach in which we focus on CAN/WILL instead of CANNOT/WILL NOT.

Pediatric sessions will look like play- because that is exactly what is happening! Play is a powerful tool to orient the creativity of a child's mind and help them become regulated and ready to receive information and practice new skills. Play IS structured, whether or not it appears that way. The turn-taking, repetition, structure and function of activities- these are pieces of the framework that help set the stage for a child's mind to make deep and resilient connections. 

We have seen amazing things when this happens in a child's most familiar and comfortable environment!

The caregiver or parent will be involved at every stage of the treatment process. It is absolutely vital to progress! At the beginning or end of a session, your therapist will check in with you on recent observations, provide training, discuss goals and progress, and make sure you know how you can contribute both during and outside of treatment sessions. 

Please see our Intake Process page:

https://inreachspeech.com/intake-process

 We typically see spots organically open within 3 - 8 weeks; however, we may have an immediate opening and sometimes our wait can be longer than 8 weeks. 

Time of year may affect our availability. For example, we typically see schedule transitions at the beginning of the summer and the start of the school year. We see lulls in availability over the winter season.

Our clinical team makes matches based on the following: 

• Geographical area or acceptance of teletherapy
• Individual's availability for treatment (days/times)
• Clinical need

Yes! Most of our team members have competency treating across the lifespan. We have several adults in our practice at any given time working on a variety of skills.

NOTE: We DO NOT accept Medicare at this time.

Yes! We will work with the staff at your child's school to collaborate on a treatment schedule and understand/apply strategies as appropriate, but your involvement is still very important!

• We may see your child one-on-one or in the presence of peers depending on manifestation of need and considerations for observation and generalization of skill. 

• Often, we provide a hybrid approach, seeing the child once weekly at school and once weekly at home to achieve cohesion between daily environments. This largely depends on scheduling availability for the clinician as well as the family.

• You can expect to be contacted weekly to collaborate  with your clinician and discuss strategies, progress, and the goal plan to ensure optimized outcomes for treatment. 

• We additionally can provide caregiver collaborative and education sessions if barriers to care arise due to needs for deepening awareness of diagnoses, problem-solving application of carryover to the daily environment, understanding the goal plan and clinical rationale, and other considerations. 

 In Reach Therapy’s Policy on Applied Behavior Analysis (ABA) 

In Reach Therapy’s position on Applied Behavior Analysis (ABA) demonstrates our commitment to providing therapeutic services that align with our core values of respect, autonomy, and demonstrating neurodiversity-affirming, trauma-informed care. Our goal is to ensure that our therapeutic practices support the well-being and individual needs of our clients in a manner that is ethical, inclusive, and affirming of their identities.

Policy Overview:

Our practice does not support the use of Applied Behavior Analysis (ABA) as a therapeutic approach and therefore we cannot offer treatment in ABA Centers or co-treatment with ABA practitioners. 

At In Reach Therapy, we are deeply committed to offering therapeutic services that honor and respect each individual's unique identity and needs. By opting not to endorse ABA, we reinforce our commitment to practices that align with our fundamental principles of autonomy, respect, and celebration of neurodiversity. We firmly believe that the methods we have selected will most effectively assist our clients and families in achieving their goals and leading enriched, fulfilling lives.

We wholeheartedly understand and support our families' decisions in selecting the care team that is right for them. While we do not offer services in ABA centers or collaborate with ABA practitioners, please know that this in no way diminishes our commitment to providing holistic and compassionate care to our families. We respect the right to have ABA as a part of the care team and we will not alter our level of care based on the presence or absence of ABA treatment.

Our rationale is based on report from autistic individuals and evidence-based research. Read on for more information.

Rationale:

1. Respect for Autonomy and Identity: 

   - We believe in honoring the autonomy and identity of each individual. ABA practices, particularly those that emphasize behavior modification and compliance, can undermine personal autonomy and self-expression. Our clinic is committed to approaches that celebrate and accommodate the unique qualities of each person rather than seeking to alter them to fit neurotypical societal norms. 

2. Historical and Ethical Concerns: 

   - ABA has historically included practices, such as aversive techniques, that are now widely recognized as unethical and harmful. Although contemporary ABA may have moved away from some of these practices, concerns about its impact on self-esteem, emotional well-being, and identity persist. Our clinic prefers methods that align with current ethical standards and respect for individual dignity. 

3. Focus on Person-Centered Approaches: 

   - We prioritize therapeutic approaches that are person-centered. Our goal is to support individuals and families in achieving their personal goals and enhancing their quality of life without imposing neurotypical standards of behavior. We use methods that are collaborative, empowering, and tailored to the specific needs and preferences of our clients, keeping their neurotype in mind at all times. 

4. Commitment to Neurodiversity: 

   - Our clinic is guided by the principles of the neurodiversity-affirming movement, which advocates for acceptance and inclusion of diverse neurological profiles. We believe that neurodiversity is a valuable aspect of human diversity and that therapeutic practices should reflect this understanding by promoting acceptance and accommodations rather than attempting to change fundamental aspects of an individual’s character.
 

Approaches:

In contrast with ABA, our clinic utilizes therapeutic approaches that align with our values, including but not limited to: 

 - Strength-Based Approaches: Focusing on the individual’s strengths and abilities to build confidence, self-advocacy, and enhance overall well-being. 

- Person-Centered: Collaborating with clients and families to set meaningful goals and develop strategies that respect their preferences and values. 

-  Building Social Networks: Providing support in a way that fosters natural social interactions and respects individual communication styles. Helping our clients and families learn to self-advocate and promote understanding of diverse communication styles. 

Conclusion:

In Reach Therapy is dedicated to providing therapeutic services that are ethical, respectful, and affirming of each individual’s identity and needs. By choosing not to support ABA, we are reaffirming our commitment to practices that align with our values of autonomy, respect, and being neurodiversity-affirming. We believe that our chosen approaches will best support our clients and families in achieving their goals and leading fulfilling lives. 

We understand, support, and respect our families' choices to build the care team that works best for them. While we are unable to offer our services in ABA centers or co-treatments with ABA practitioners, this will not affect our dedication to serving our families in the most holistic method possible.

For questions or further information about our therapeutic practices and policies, please contact us at 503-421-8269 or hello@inreachspeech.com.  

Speech and occupational therapy are provided 1-3 times per week for 30-60 minute sessions depending on medical necessity. 

Make sure to set aside at least 15 minutes more than the duration of the treatment session to create a cushion of time for your therapist's arrival. They are traveling through an uncontrollable environment to see you and traffic, trains, and flat tires can happen.

NOTE: You must have at least two days per week available for treatment and/or possible makeups.

• A legal adult (18 years or older) is required to be in the home/building with the clinician for the entire duration of the treatment session.
• Collaborate to make up missed sessions within 1 month
• Collaborate to move treatment to teletherapy in the event of inclement weather, illness in the home, etc
• Report illness as soon as it occurs, regardless of the proximity of your next scheduled session
• Adhere to our conduct policy to promote a safe space for treatment. Be kind and treat your clinician with respect.
• Ensure that the environment for treatment is safe and free of barriers to mobility, excessive noise, fumes, potentially dangerous pets, etc.
• Participate in therapy consistently and candidly. Your expertise is integral to the success of treatment.
• Engage in neurodiversity-affirming care. We will not attempt to make a neurodiverse person appear "typical".

Attendance

Because efficacy of treatment foundationally relies on attendance, we must have an attendance policy that honors our model of partnership. In any partnership, there are expectations. 

Progress cannot be made if treatment is not consistently accessible. Your therapist will recommend a frequency of therapy that is optimal for progress. This can be 1 - 3 times per week and is based on medical necessity. If excessive absences occur, services may be discharged.

How many missed sessions are considered excessive?

This is based on how often therapy is recommended to occur, also known as the "frequency".

Therapy 1x/wk = more than 1 session per month    

Therapy 2x/wk =  more than 2 sessions per month

Therapy 3x/wk = more than 3 sessions per month 

 Other Considerations

• Practice or clinician-initiated cancelations do not affect your attendance rate. 
• The practice is closed for five business days between Christmas and New Years.
• We cannot hold space in your clinician's schedule for longer than two weeks. If the patient will be unavailable for a longer duration, we cannot guarantee the patient's spot when you return.
• Two consecutive no shows will result in discharge from services.
• Two consecutive months of excessive absences may result in discharge from services. 

All therapists are in charge of their own schedules. Call, text, or email your therapist to reschedule. Remember! You must give 48 hours' notice for cancellations or reschedules to avoid our cancelation fee.