NeurogeniCSS Referral Form

Please download, print and fax the below referral form with any additional information including patient case history and insurance information.

Download Referral Form

Insurance Accepted


We are an in-network provider for the following insurance companies:

Medicare accepted - Neurogenic Communication & Swallowing Solutions
Cigna insurance accepted - Neurogenic Communication & Swallowing Solutions
Blue Cross Blue Shield insurance accepted - Neurogenic Communication & Swallowing Solutions
Humana insurance accepted - Neurogenic Communication & Swallowing Solutions
United Healthcare insurance accepted - Neurogenic Communication & Swallowing Solutions