Referrals Should Include

(mm/dd/yy)
"evaluate and treat speech-language services"

Referrals should include the following information from your child's doctor:

  • Name & phone number of person making referral
  • Patient's full name
  • Patient's date of birth (mm/dd/yy)
  • Patient's address
  • Legal guardian's name
  • Legal guardian's phone number
  • Physician's prescription to "evaluate and treat speech-language services" 
  • Brief description of the patient's communication challenges and/or the reason for making the referral

Please send referrals to:

Fax: 843-480-9844

Email: referrals@mtppediatrictherapy.com 

Billing Address:

1051 Johnnie Dodds Blvd- Suite G- Mt. Pleasant, SC 29464