In order for your patient to receive therapy, please fax the following information to our office at (760)-410-1248. 

• Referral information

  • Voice evaluation and treatment (92524, 92507) or Speech/language evaluation (92523)

  • Appropriate ICD-10 codes 

• For transgender voice: R49.8 Other Voice and Resonance Disorders, F64.0 Transgender. If applicable: F64.9 Gender Dysphoria

• • Medicare insurance information and demographics

• The most recent progress note with history, medications, etc. 

All evaluation reports and progress notes will be faxed to the referring physician for signature. To ensure compliance with Medicare guidelines, all notes must be signed and faxed back to Amplified Voice & Speech within 7 days of receipt.