COVID-19 CANCELLATION POLICY UPDATE:
In an effort to ensure we are all collectively working to "flatten the curve" and eliminate community transmission of COVID-19 ("coronavirus"), effective March 16 2020 until further notice, the following policy is in effect:
- all appointments for both new and existing clients will be conducted virtually via video; for more information on how video sessions can be as effective as in-person, visit this page
- the regular cancellation policy remains in effect (see below)
REGULAR CANCELLATION POLICY:
24 hours' notice is required to cancel appointments (whether in-person or via video). Missed appointments ("no shows" without notice prior to the appointment start time) will be charged the full rate; appointments cancelled with less than 24 hours' notice will be charged 50% of the full rate for that session. As always, see the Health Policy in Policies and Procedures for important information on deciding when you're too sick to attend your session.
If you cannot attend your video session due to COVID-19 related issues and find yourself unexpectedly within the 24 hours' cancellation policy, contact me to discuss.
Yes! Like other health care professionals, speech-language pathologists must be licensed by the regulatory body, the College of Speech-Language Pathologists and Audiologists of Ontario (www.caslpo.com) in order to practice. I have my MSc in speech language pathology, I’m licensed by CASLPO to work in Ontario, registered with SAC (Speech Language and Audiology Canada), and I have a certificate of clinical competence from ASHA (the American Speech-Language and Hearing Association).
You can self-refer to a speech pathologist, which means you don’t need a doctor’s referral to book an appointment. However, check to see whether your supplemental insurance company requires a doctor’s referral before you can submit your receipts for reimbursement.
When the College recommends that in-person visits are safe and appropriate again, I'll be back in the big, bright grand piano room at On The Off Beat music school at 1113 Queen St East (near Pape). It features a beautiful grand piano and space to move comfortably while vocalizing. There is a single stall private washroom available for clients, and you don’t need to worry about sound transfer while you’re vocalizing as we are the only people in the building during the day! Unfortunately, there are five stairs to get into the building, so it is not wheelchair accessible. Please contact me if you need wheelchair accessibility to discuss options.
In-person visits are not currently recommended by the College to prevent the spread of covid19. However, when in-person appointments are appropriate again, here's the answer!:
On occasion, after an initial in-person assessment, if coming to a clinic location is prohibitive and if it is determined that it is an appropriate method of delivering therapy for your situation, videoconferencing may be an option for future sessions. As well, there are occasionally possibilities where I may visit you on site, on location, at the theatre, on set, in your classroom, in your boardroom, or wherever you use your voice for special sessions, schedule permitting. (A travel fee applies to on-site appointments; both schedule and cost must always be discussed prior to booking an on-site appointment.)
Yes! If your child has a voice concern, no matter what the nature, I am happy to discuss whether this is the right fit and can help facilitate an appropriate pediatric laryngology evaluation if necessary. In particular, if your child is interested in pursuing semi- or professional singing and acting, or if your child is seeking a more congruent voice as part of their gender transition, because there are so few services available in Toronto in these areas, I will do everything I can to make sure you can get an appointment as soon as possible. Parents are expected to attend and participate in activities with the clinician and child to maximize the impact of therapy.
While all speech language pathologists are trained to assess and treat a wide range of speech and language related disorders, many SLPs choose to narrow the focus of their practice so they can dive more deeply into those areas. You want an SLP who is confident and competent in the area you need help. My practice focuses almost exclusively on voice & voice disorders, accent & dialect work, and professional communication. If you have another type of speech or language concern, go to www.osla.on.ca or www.caslpo.com to find a clinician who can help you meet your goals.
The initial assessment is one hour. Together, after the initial assessment, we will discuss a plan to help you achieve your goals, and we'll work collaboratively to determine what works best for you in terms of therapy options.
Plans & options for voice therapy and/or voice work can include:
- one-to-one direct therapy (45 or 30min sessions weekly plus home programming)
- group therapy (60 min sessions weekly plus home programming)
- do-it-yourself voice work (guided, with feedback, or on demand)
- single sessions (determined in the assessment and based on specific goals and needs)
- something else we design together to get you to where you want to be!
There is no standard set amount of sessions because there is no “cookie cutter” approach to voice therapy - each person is treated individually, and a variety of factors go into determining how much and how frequently therapy is indicated. That being said, if you're ready to take the plunge and realize your voice dreams, electing to do one-on-one sessions requires a 3 month commitment because I want you to get results. Experience tells us that people can make big, bold changes in one session, but if you want those changes to stick, and if you want to fulfill your goals, it takes time and commitment to the process. But don't worry; I'll never lock you in to something you don't need or can't use. Even though I ask you to make a 3 month commitment to yourself and your goals, if you need to, you can cancel at any time, so long as you follow the current cancellation policy.
At the end of each session, we’ll discuss your progress and goals and determine together how much more support you require going forward together.
The initial assessment is 60 minutes long, and includes a full and very thorough case history where we explore what is contributing to your voice complaint, a perceptual voice assessment, an objective voice assessment by way of a voice recording and both computer and clinician analysis, a manual assessment of your larynx and the muscles surrounding it, an evaluation of your posture and breathing, as well as anything else that you want to ensure is addressed. You’ll have the opportunity to discuss your concerns and set goals together with your therapist. At the end of the assessment, you’ll review the results of the assessment and recommendations to arrive at a plan together with your therapist for meeting your goals. You’ll be given therapeutic exercises to begin where possible, and you’ll have a clear set of next steps to help you achieve your best voice.
24 hours’ notice is required to cancel appointments. Missed appointments (“no shows” without notice prior to the appointment start time) will be charged at the full rate; appointments cancelled with less than 24 hours’ notice will be charged 50% of the full rate for that session. For important information on deciding when you're too sick to come to a session, see the Health Policy in the Policies and Procedures document here.
During peak seasons (e.g., the second half of December when everyone wants to use up their insurance and appointments are hard to come by), or when the waitlist is longer than 8 weeks, the cancellation policy changes to 48 hours' notice required to cancel appointments. However, you'll always receive notice via email of this change if you are an active client.
Rates are set based on guidelines published by OSLA (the Ontario Association of Speech Language Pathologists and Audiologists), and vary depending on length of session, location, and/or requested/necessary documentation. They also take into account a clinician's training and experience.
Every therapy plan begins with a thorough assessment:
- $190 for a one-hour in-depth assessment (includes reviewing your voice concerns, full history including contributing factors, perceptual evaluation, breathing/postural evaluation, manual assessment of muscles used in voicing when in person or guided body scan for virtual sessions, detailed analysis of recordings of your voice, as well as a summary reflecting goals and next steps)
Treatment plans can include any of the following, combinations of any of the following, or something entirely different that we invent together! Here are the most common options:
- $190/week for one-on-one direct therapy (45min session option) (includes goal setting, home practice, accountability, feedback, and direct therapy time in 45min one-on-one sessions)
- $150/week for group therapy (including goal setting, home practice, accountability, feedback, direct therapy time in 60min group sessions, plus group motivation and support)
- $110/week for "do it yourself plus" guided voice work (includes goal setting coaching, home practice, accountability, as well as group motivation and support; options available either with or without feedback)
- $55/week for "do it yourself" on-demand voice work (includes home practice, accountability, as well as group motivation and support; opportunities to earn feedback)
- $55 for 15min bonus laser coaching blocks that can be added on as needed
For one-on-one therapy, you can choose weekly or bi-weekly sessions. Both options include all other features. Group therapy typically occurs weekly.
For group therapy, you will be matched with clients who are working on similar goals.
Some voice concerns or service needs may not fit into the above options. Other services may be arranged, including (but not limited to) the following:
- $150/week for one-on-one direct therapy (30min session option) (includes goal setting, home practice, accountability, feedback, and direct therapy time in 30min one-on-one sessions)
- $175 for 45min singing lessons (not eligible for insurance reimbursement)
- $105 for 30min singing lessons (not eligible for insurance reimbursement)
- $55 for 15min consult (via phone or video)
If you have financial constraints or any concerns that voice therapy may not be accessible to you, please do not hesitate to reach out. You can email me at email@example.com or fill out the contact form here. I will do everything I can to help you find a solution that fits within your means.
Payment is required directly following the completion of service. You can pay at the end of your session using Visa, MasterCard, e-transfer to firstname.lastname@example.org, or cash.
Voice therapy is not covered by OHIP, but most supplemental insurance programs offer coverage for speech therapy/speech pathology, which means you can submit your receipts from appointments with me to your insurance for reimbursement. You may also want to check to see whether your supplemental insurance company requires a doctor’s referral before you can submit your receipts for reimbursement.If you are a performer with ACTRA or Equity insurance, I can help you navigate your insurance plan and offer options that fit within your coverage.
Ideally, yes. But not just any ENT; you should be seen by a laryngologist whose specialty is voice and who can perform stroboscopy. It’s important to have a laryngologist visualize your vocal cords (your “voice box”) to rule out anything structural or medical, and to help me create the most effective and efficient therapy plan. If you need help finding a laryngologist, contact me. Even if you haven’t seen a laryngologist yet, we can still get the ball rolling on therapy; contact me to find out what your best next steps should be.
Written reports will gladly be made available for any reason upon request and are subject to additional fees. They are not automatically included in the assessment because many people don’t require them; this way, you only pay for what you need. The assessment does include a goal setting summary as well as next steps, and that is included in the cost.