Who We Support

We welcome, respect, and value people of all races, ethnicities, gender expressions, sexual orientations, ages, religions, body shapes, abilities, socioeconomic status, and national origin.

Singing Teletherapy and Telehealth Online Clinic with Jennifer Gill

Initial Consultation

Meet us online for a free consultation about our services for voice, speech and swallowing.

Evaluation

Comprehensive evaluation is important, especially if issues persist for more than 2-3 weeks or reoccur with some regularity. Specific areas of evaluation are based on screening results and expressed concerns. Multi-dimensional testing will evaluate a client’s skills, and evaluation findings will be compared via norm- and criterion-referenced tests.

Aaron Ziegler Child Pediatric Voice and Speech Therapy, Portland Oregon, California, Washington, Idaho
Voice

Read More About Our Services For Voice

Perceptual Voice Evaluation

A standardized assessment is performed during different vocal tasks to rate the severity of features such as pitch, loudness, roughness, breathiness, and strain. Information is gathered about the nature of your voice concerns and its impact on vocal activities. Stimulability testing will assess your ability to vocalize more efficiently by trying different therapeutic techniques.

Acoustic and Aerodynamic Testing

Acoustic testing involves recording different vocal tasks to obtain measures of frequency, intensity, and quality utilizing computerized analysis of the recorded voice signal. Aerodynamic testing involves measurement of subglottal pressure and airflow during voice production.

Stroboscopic Examination of the Vocal Folds – Not currently available

Diagnostic imaging involving a standardized instrumental assessment of the voice box (larynx). Vocal fold vibration is observed during different vocal tasks while a flexible or rigid endoscope is gently placed to visualize the vocal folds.

Treatment services
  • Voice Therapy is a behavioral intervention to manage a voice disorder in which an SLP guides a client in adjusting behaviors that impact vocal health and function.
  • Gender Affirmative Voice and Communication Instruction is a behavioral intervention in which an SLP supports the development of voice and communication to align and affirm one’s gender identity
  • Breathing Retraining Therapy is a behavioral intervention in which an SLP guides a client in adjusting behaviors that contribute to inefficient breathing
  • Cough Suppression Therapy is a behavioral intervention in which an SLP guides a client in adjusting behaviors that contribute to chronic cough.
  • Singing and Speaking Training guides a client in adjusting vocal technique to perform professional vocal activities (e.g., sing, speak loudly)
Populations served
  • Singers and recording artists
  • Professional speakers
  • Teachers and instructors
  • Call center operators
  • Spiritual leaders
  • Gender expansive individuals
  • Older adults with voice changes
  • Children with voice changes
Providers
  • PhoRTE
  • LMRVT
Jennifer Gill Adults Voice Evaluation and Speech Evaluation, Portland Oregon.
Speech

Read More About Our Services For Speech

Speech Sound Evaluation

A standardized assessment is performed of your speech in different contexts. Information is gathered about the nature of your speech concerns and its impact on speaking activities and life participation. Stimulability testing will assess your ability to produce typical speech sounds or other speaking attributes as you try different therapeutic techniques.

Fluency Evaluation

A standardized assessment is performed of your speaking fluency for a detailed analysis of typical and atypical disfluencies. Information is gathered about the nature of your fluency problem and its impact on speaking activities and life participation.  Stimulability testing will assess your ability to smooth your speaking fluency as you try different therapeutic techniques.

Motor Speech Evaluation

A standardized assessment is performed of your speaking ability such as speech sounds, speaking rate, intonation, voicing, pitch variance, and resonance. Information is gathered about the nature of your motor speech problem and its impact on speaking activities and life participation. Stimulability testing will assess your ability to produce more intelligible speech as you try different therapeutic techniques.

Treatment services

Speech Therapy is a behavioral intervention in which an SLP addresses speech impairments (e.g., articulation, fluency, speaking rate, intonation, speech motor planning, etc) that limit speaking activities and life participation.

Populations served
  • Adults with Parkinson’s disease and other neurological disorders
  • Adults and children with stuttering and fluency disorders
  • Adults with acquired apraxia of speech and dysarthria
  • Children with speech sound disorders
Providers
  • LSVT
  • SPEAK OUT
  • SpeechVive
Aaron Ziegler Adults Swallowing Dysphagia Therapy, Salem, San Diego, Seattle, Vancouver.
Swallowing

Read More About Our Services For Swallowing

Clinical Swallow Evaluation

A standardized assessment is performed of your swallowing ability, including an oral motor examination to assess the integrity of certain muscles and nerves of the head and neck. Information is gathered about the nature of your swallowing problem and its impact on mealtime activities and life participation. Stimulability testing will assess your ability to swallow more effectively, efficiently, and safely by trying different therapeutic techniques.

Flexible Endoscopic Evaluation of Swallowing (FEES) – Not currently available

A standardized instrumental assessment is performed of your swallowing ability, including an oral motor examination to assess the integrity of certain muscles and nerves of the head and neck. Swallowing ability is assessed by eating and drinking various consistencies and textures while a flexible endoscope is gently placed to visualize your throat (pharynx) and voice box (larynx). Stimulability testing will assess your ability to swallow more effectively, efficiently, and safely by trying different therapeutic techniques with the flexible endoscope in place.

Treatment services

Swallowing Therapy is a behavioral intervention in which an SLP addresses swallowing impairments that limit one’s ability to eat and drink effectively, efficiently, and safely

Populations served
  • Older adults with age-related swallowing changes
  • Adults who had a stroke
  • Adults with Parkinson’s disease
  • Adults with head and neck cancer
  • Adults and children with Laryngopharyngeal reflux
Providers
  • MBSImP

 

Safe care during COVID-19

We provide the best care possible while protecting our clients, and ourselves. If you have any signs of sickness, including fever, please call or email to reschedule your appointment.

We provide hand sanitizer/ handwashing when entering and leaving the clinic. Masks are worn at all times by both clinician and client. Clinic room surfaces and equipment are thoroughly cleaned between clients. We maintain a physical distance of 6 feet or more. We place a plexiglass shield between client and clinician.

We offer teletherapy as an alternative to in-person appointments.

For more information please visit: https://www.cdc.gov/coronavirus/2019-ncov/

The Wellness Group is a fee-for-service, private pay clinic.

We accept clients with Medicare Part B.

Clients are responsible for payment for evaluation and therapy sessions at the time of service. The evaluation fee is based on the total time spent on the evaluation process (testing, scoring, analyzing results, formulating recommendations, and writing the report). The fee for therapy includes the time spent in direct therapy and consultation with client and family. We accept cash, check, and app-based platforms. Upon request, superbill and documentation are provided for possible insurance reimbursement.

Insurance

Contact your insurance company to understand your benefits for services by a speech-language pathologist. Seeking answers in advance will help you estimate your financial responsibility in relation to your policy. Information to seek includes number of visits allowed per year, your deductible, your copay or coinsurance, exclusions on the benefit plan, pre-authorization/referral, and where to submit claims.

You may need to provide the insurance company with CPT and ICD-10 codes. Common CPT codes for evaluation include 92520, 92521, 92522, 92524, 92610, 92612, 92511, 31575, and 31579. Common CPT codes for treatment include 92507, 92508, and 92526.

Attendance

Regular attendance is essential to achieve your goals. Contact us if you are going to be late. If the late start is the fault of the clinician, the rate charge will be adjusted for the time that was missed. If you are late, the rate charge will not be adjusted and you will be billed per the hourly rate. At least a 24-hour notice is required for non-emergency cancellations. You will be charged in full if you do not show or provide less than 24-hours notice.

Sessions canceled 3 or more times during a 3-month period, regardless of reason, are subject to charges at the regular rate or termination of services. No call/no show will result in immediate discharge and no services for 6 months.

The Wellness Group for Voice, Speech, and Swallowing, LLC reserves the right to withhold services if balance is not paid in full.
Our State-of-the-Art Online Clinic
Sessions from the comfort of your own space.
Wellness Group Teletherapy and Telehealth Online Clinic

What we provide in telepractice

  1. Countryman headset microphone for excellent vocal quality
  2. Focusrite Scarlett USB audio interface for excellent vocal loudness
  3. Sennheiser Pro headphones for superb sound reception
  4. Korg Music Workstation for accompaniment of singers
  5. Logitech Streamcam 1080p at 60fps for high-quality video
  6. Fast and stable internet for reliable session connectivity
  7. HIPAA-aligned Google Meet platform for accessible online sessions
  8. HIPAA-aligned Google Drive storage for access to practice exercises
  9. Praat software for fine-grained acoustic testing and analysis

What you need for telepractice

Reliable internet for ensuring stable session connectivity

Devices such as smartphones, tablets or computers for your session

External webcam for ideal video quality; internal camera is acceptable

USB headworn microphone for ideal vocal quality; internal microphone is acceptable

USB external audio interface for improved vocal loudness; internal sound card is acceptable

Quiet space free of distractions with good lighting on your face

SPEAK OUT! & LOUD CROWD

SPEAK OUT! is a therapy approach for people with Parkinson’s disease to improve their voice and speech. SPEAK OUT! is completed in 12 sessions over four weeks. Clients report improvement in their ability to speak and be heard, as well as their overall quality of life. LOUD Crowd is group therapy that meets once weekly to maintain skills developed during SPEAK OUT!

SPEAK OUT! & LOUD Crowd were developed at Parkinson Voice Project.

Watch Our Video About Our Gender Affirming Voice Support

+1 (503) 946-6907

info@wellnessgroupslp.com

We provide in-person and web-based services.