Request an Appointment - Prismatic Speech Services

Please Note

Prismatic clinicians are licensed to work with clients who live in the states listed on the form below. If you are located in another country or unlisted state and are interested in seeking a local clinician, please contact us for a referral!

Request a Consultation

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Which US state do you live in? / ¿En qué estado de los EE.UU. vive?*

If you are interested in becoming a client, your permanent residence needs to be in one of the states listed below.

Arkansas

Colorado

Connecticut

Georgia

Massachusetts

Missouri

New Jersey

New York

North Carolina

North Dakota

Oregon

Pennsylvania

South Carolina

Vermont

Virginia

Other US State/Outside of US

Which language do you prefer to use?*

¿Qué idioma prefiere usar en sus terapias?

English / Inglés

Spanish / Español

Based on your state of residence, you will be working with our clinician, Gregory Robinson (they/them). Please complete your booking request on the next page!

En función de su estado de residencia, tiene la opción de trabajar con Kevin Dorman (elle/le) o Viridian Luna (elle/le). Viridian hablan español e inglés con fluidez, en breve empezaran a atender a clientes; Kevin solo habla inglés, y actualmente está aceptando clientes.

Based on your state of residence, you have the option of working with Kevin Dorman (they/them) or Viridian Luna (they/them). Viridian is just getting started here, so we're building their waitlist to ease the transition.

¿Con qué profesional prefiere trabajar?*

Viridian

Kevin

Con el que esté disponible antes.

Which clinician would you rather work with?*

Viridian

Kevin

Whoever's available sooner

Currently, that would be Kevin Dorman (they/them). Using the widget below, select Kevin and fill out the following items to request an appointment. They will reach out to confirm your appointment or discuss rescheduling, so keep an eye out for an email from kevin@prismaticspeech.com. If none of the times listed work for you, please email Kevin!

Actualmente, sería Kevin Dorman (elle/le); no habla español, pero estará encantade de atenderle en inglés. Utilizando el widget de abajo, seleccione Kevin y llene las siguientes secciones para pedir una cita. Se pondrá en contacto con usted para confirmar o discutir la reprogramación de su cita, por lo que debe estar atento a un correo electrónico de kevin@prismaticspeech.com. Envíe un email a Kevin si las horas indicadas no se alinean con su disponibilidad.

Using the widget below, select Kevin and fill out the following items to request an appointment. They will reach out to confirm your appointment or discuss rescheduling, so keep an eye out for an email from kevin@prismaticspeech.com. If none of the times listed work for you, please email Kevin!

Please fill out the form on the next page to be added to Viridian's waitlist!

Complete el formulario de la página siguiente para inscribirse en la lista de espera de Viridian.

Based on your state of residence, you will be working with our clinician, AC Goldberg (he/him). Please complete your booking request on the next page!

Based on your state of residence, you will be working with our clinician, Kevin Dorman (they/them). Using the widget below, select the appropriate clinician and fill out the following items to request an appointment. Your clinician will reach out to confirm your appointment or discuss rescheduling. If none of the times listed work for you, please email us at kevin@prismaticspeech.com.

Based on your state of residence, you will be working with our clinician, Alison Hiester (she/her). Using the widget below, select the appropriate clinician and fill out the following items to request an appointment. Your clinician will reach out to confirm your appointment or discuss rescheduling. If none of the times listed work for you, please email us at kevin@prismaticspeech.com.

Based on your state of residence, you may work with Eli Van Hook (they/he) or Kevin Dorman (they/them). Using the widget below, select the appropriate clinician and fill out the following items to request an appointment. Your clinician will reach out to confirm your appointment or discuss rescheduling. If none of the times listed work for you, please email Kevin at kevin@prismaticspeech.com.

Based on your state of residence, you'll be working with Viridian Luna (they/them)! We are finalizing their onboarding, but would love to put you on Viridian's client list so you can hit the ground running when they're ready. Please fill out the form on the next page to be added to the list!

¡Según su estado de residencia, trabajará con Viridian (elle/le)! Estamos terminando la incorporación de Viridian, pero nos encantaría agregar su nombre a la lista de clientes de Viridian para que pueda empezar a trabajar cuando esté liste. Llene el formulario de la página siguiente para añadir su nombre a la lista.

Based on your state of residence, you will be working with our clinician, Eli Van Hook (they/he). Using the widget below, select the appropriate clinician and fill out the following items to request an appointment. Your clinician will reach out to confirm your appointment or discuss rescheduling. If none of the times listed work for you, please email Eli at eli@prismaticspeech.com.

Due to your place of residence, we cannot work with you at this time. If you are open to a referral, we could encourage you to fill out our Contact Form.

PLEASE NOTE: Times are listed in Eastern Time by default

Request Appointment

We are currently only seeing clients online via video chat.*

Got it

Actualmente solo atendemos a los clientes a través de videochat.*

Entendido

Gregory sees clients online and in-person at an office in Little Rock; do you have a preference between these two formats?*

Online

In-person

I don't have a preference

Other

Gregory's schedule is somewhat fluid at the moment. Do you have a time/day you would prefer if available?

No guarantees they'll be able to make it work, but it helps to know if you have any preferences in this regard. Gregory will reach out as soon as possible to schedule.

When Viridian starts seeing clients soon, they'll be seeing clients on Mondays at first and expanding to more hours in the summer. Are you available on Mondays?*

Yes

No, add me to their waitlist for another day of the week

No, let me see Kevin's availability

Cuando Viridian empiece a ver clientes, empezará a ver clientes solo los lunes y ampliará a más horas en el verano. ¿Estás disponible los lunes?*

No, añademe a la lista de espera para otro día de la semana.

No, déjeme ver la disponibilidad de Kevin

Do you have a time of day you'd prefer to meet?

No guarantees they'll be able to make it work, but it helps to know if you have any preferences in this regard. Viridian will reach out to you as soon as possible to schedule.

¿Tiene una hora del día en la que preferiría reunirse?

No hay garantías de que puedan hacerlo, pero ayuda saber si tiene alguna preferencia al respecto. Viridian se pondrá en contacto con usted lo antes posible para concertar una cita.

Kevin estará encantade de trabajar con usted, pero solo habla inglés. Si aún así quiere trabajar con esta persona, utilizando el widget de abajo, seleccione Kevin y llene las siguientes secciones para pedir una cita. Se pondrá en contacto con usted para confirmar o discutir la reprogramación de su cita, por lo que debe estar atento a un correo electrónico de kevin@prismaticspeech.com. Envíe un email a Kevin si las horas indicadas no se alinean con su disponibilidad.

Request Appointment

AC hosts group sessions for clients on Fridays; he cannot take on any additional one-on-one clients at this time. Are you open to working in a group setting?*

Yes, I'm open to a group session.

No, add me to Prismatic's waitlist and reach out when you can see me.

No, please refer me to another practice or provider in my state.

Are you filling this form out for yourself or for someone else?*

For myself

For someone else

What name should we use when referring to you?*

First Last

Please tell us your gender and pronouns.*

Email*

Enter Email Confirm Email

Phone*

What's your birthdate?*

Month

Day

Year

What's your relationship to the potential client (the person for whom you're filling this form out)?*

What's the name we should use to refer to the potential client?*

First Last

Please tell me the potential client's gender and pronouns.*

What's the potential client's email?*

Enter Email Confirm Email

What's the potential client's phone number?*

What's the potential client's birthdate?*

Month

Day

Year

Would you like to book a consultation (30 min) or a full assessment (45 min)?*

Consultation- Free

Full Assessment- $100

What is your primary reason for booking this appointment?*

Do you have insurance, and if so, are you interested in seeking reimbursement?

We have successfully helped clients receive reimbursement from their insurance companies. You'll need to pay for sessions up front; after that, we can give you whatever information your insurance company requires in order for you to seek reimbursement.

Yes

There are several questions you may want to ask your insurance provider before we get started to give you the best shot at reimbursement. These questions are available here; please take care of this as soon as possible so we can help you seek that reimbursement.

What insurance company do you use?*

Is your legal name different than the one listed above?*

Yes, my legal name is different

Yes, but that'll change soon

No, that's my legal name

What's your legal name?*

We only need to know this since you're filing with insurance.

First Last

What's the legal name of the potential client?*

We only need to know this since you're filing with insurance.

First Last

Are you interested in partial coverage from our micro grant fund?

Depending on your household size and annual income, you may qualify for a partial cost reduction for our sessions. Read more about our fund.

Yes

What's a rough estimate of your household's annual income?

No worries if you're not sure; we can easily discuss the scholarship fund during our consultation.

What's your household's annual income?*

If you're not sure, feel free to write so; you'll need to investigate this before we can meet for the assessment.

How many people live in your household?

How many people live in your household?*

How did you hear about Prismatic Speech Services?*

Online

Flyer/Brochure

Referral

Meeting A Prismatic Clinician

Other

Which online source led you here?*

Where was the flyer or brochure located?*

Fantastic! Who referred you to us?*

Comments or Questions?

¿Está llenando este formulario para usted o para otra persona?*

Para mí

Para otra persona

¿Qué nombre debemos utilizar para referirnos a usted?*

Nombre Apellido

Por favor, indíquenos su género y pronombres.*

Email*

Ingrese su correo electrónico Confirme su correo electrónico

Teléfono*

¿Cuál es su fecha de nacimiento?*

Month

Day

Year

¿Cuál es su relación con el cliente potencial ((la persona para quien usted está llenando este formulario))?*

¿Cuál es el nombre que debemos utilizar para referirnos al cliente potencial?*

Nombre Apellido

Por favor, dígame el género y los pronombres del cliente potencial.*

¿Cuál es el correo electrónico del cliente potencial?*

Introducir Email Confirmar Email

¿Cuál es el número de teléfono del cliente potencial?*

¿Cuál es la fecha de nacimiento del cliente potencial?*

Month

Day

Year

¿Desea reservar una consulta (30 minutos) o una evaluación completa (45 minutos)?*

Consulta gratuita

Evaluación completa- $100

¿Cuál es la razón principal para reservar esta cita?*

¿Tiene seguro médico y, en caso afirmativo, está interesado en solicitar el reembolso?

Hemos ayudado con éxito a clientes a recibir el reembolso de sus compañías de seguros. Usted tendrá que pagar por las sesiones por adelantado; después de eso, podemos darle cualquier información que su compañía de seguros requiere para que usted pueda solicitar el reembolso.

Hay varias preguntas que puede hacer a su compañía de seguros antes de que empecemos para que tenga la mejor oportunidad de obtener el reembolso. Estas preguntas están disponibles en inglés aquí; por favor, hágalas lo antes posible para que podamos ayudarle a solicitar el reembolso.

¿Qué compañía de seguros utiliza?*

¿Su nombre legal es distinto del que figura arriba?*

¿Cuál es su nombre legal?*

Solo necesitamos saber esto porque va a presentar una solicitud al seguro.

First Last

¿Está interesado en una cobertura parcial de nuestro fondo de micro subvenciones?

En función del tamaño de su familia y de sus ingresos anuales, puede optar a una reducción parcial del coste de nuestras sesiones. Más información sobre nuestro fondo.

¿Cuál es la renta anual de su hogar?*

Si no está seguro, tendrá que investigarlo antes de que podamos reunirnos para una evaluación.

¿Cuántas personas viven en su hogar?*

¿Cómo conoció el Prismatic Speech Services?*

Redes sociales/ página web

Folleto

Remisión

Reunión con un profesional de Prismatic Speech Services

Other

¿En cuál página web nos encontró?*

¿Dónde se encontraba el folleto?*

Fantástico ¿Quién le remitió a nosotros?*

¿Comentarios o preguntas?

Hidden

Kevin sees clients Sunday through Thursday, 10 am-5 pm. What's your preferred time of day for an appointment?*

We'll reach out to finalize your appointment date and time.

Hidden

Ry sees clients on Sunday, 9 am - 5 pm. What's your preferred time of day for an appointment?*

We'll reach out to finalize your appointment date and time.

Hidden

Emily sees clients Mondays through Thursdays at 5 and 6 pm, and Fridays, 8 am - 7 pm. What's your preferred time of day for an appointment?*

We'll reach out to finalize your appointment date and time.

Hidden

Is the name listed above how you would like to be addressed?

Yes

Hidden

How/where did you meet them?

Hidden

Which clinician did you meet?

Kevin

Emily

Robin

Greg

Eden

Hidden

Do you have a time you would prefer if available?

No guarantees he'll be able to make it work, but it helps to know if you have any preferences in this regard. AC will reach out to you as soon as possible to schedule.

Based on your state of residence, you will be working with our clinician, Ry Pilchman (they/them). Please complete your booking request on the next page!

Based on your state of residence, you will be working with our clinician, AC Goldberg (he/him). Using the widget below, select AC and fill out the following items to request an appointment; AC will reach out to confirm your appointment or discuss rescheduling. If none of the times listed work for you, please email him at ac@prismaticspeech.com.

Hidden

Robin sees clients on Sundays; what's your preferred time of day for an appointment?

No guarantees she'll be able to make it work, but it helps to know if you have any preferences in this regard. Robin will reach out to you as soon as possible to schedule.

At this time, our clinician who serves Connecticut is at capacity. We are working on bringing on additional clinicians in CT to meet the demand, and would love to add you to our waitlist for the state as we sort this out- please fill out the form on the next page if you're interested. You can also email kevin@prismaticspeech.com if you would like a referral instead. Thank you for your patience!

At this time, both of our clinicians who serve New York are at capacity. We are working on bringing on additional clinicians in New York to meet the demand, and would love to add you to our waitlist for the state as we sort this out- please fill out the form on the next page if you're interested. You can also email kevin@prismaticspeech.com if you would like a referral instead. Thank you for your patience!

Phone

This field is for validation purposes and should be left unchanged.

Testimonials

I cannot put into words any semblance of the complete gratitude I have for my work with Prismatic.

Aidan (she/her)

I learned so much from Kevin on the practice of strengthening a voice and the fun of being playful with my voice in the process.

Jack (he/him)

Thanks to Kevin, I have achieved the pitch and voice quality I would have sought through surgery. Now the future of my voice is truly up to me and my efforts.

Andrea (she/they)

Prismatic Speech Services has helped me reclaim my voice. I now have the tools at my disposal to make my voice work for me, and to help my voice reflect who I truly am.

Michele (she/her)

I absolutely love my voice now and am much more confident in all social settings. You will not regret choosing them.

Shana (she/her)

Kevin is easy to work with and is very accommodating to not only transgender FtM and MtF clients but also to those identifying as non-binary.

Zoe (they/them)

Super kind and helpful, would absolutely recommend to anyone needing voice training!

Lindsey (she/her)

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PLEASE NOTE: Times are listed in Eastern Time by default

Testimonials

Discharged Client Samples

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