The SMart Center

 

  

  

Touches families around the world!

 

The Selective Mutism Group Childhood Anxiety Network, (SMG~CAN)

Proudly Endorses the:
'Selective Mutism Anxiety Research & Treatment Center' (SMart Center)

 

 

 

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Table of Contents 

 

 

 
 

SMart Center Treatment Frequently Asked Questions.

About the SMart-Center


SMart-Center's MISSION
 

Philosophy of treatment
 

About Dr. Elisa Shipon-Blum

Services Offered by the SMart-Center

 

Consultation Formats   If families are not sure whether to choose the Comprehensive or Per -Service Consultation, this can be discussed at your initial consultation. 

PLUS =  *Academic Assessment Testing

**Unsure of which Initial Consultation to go with? Choose; Format Pending    ** Then speak with Dr. Shipon-Blum at time of consultation to determine your child's needs.

All Formats include the parent’s necessary participation in filling out the Selective Mutism Comprehensive Diagnostic Questionnaire (SM-CDQ) about their child as well as other assessment forms (specific to consultation format chosen). We will send the questionnaire by e-mail, fax or regular mail after a confirmation for an appointment is made.

 

Follow-up consultations

 

Treating Professional consultations


Additional Services (I.E. Medication and Medical Management)


School services.


Presentations, speaking engagements,


Payment Policy

 

Regarding Effective Treatment

 

 

*Includes Academic Assessment Testing


a

 

About the SMART Center
 


 

President and Director of SMart-Center

Dr Elisa Shipon-Blum
CEO and Executive Medical Director of the SMG~CAN
Clinical Professor Psychology & Family Medicine

Philadelphia College Osteopathic Medicine

SMart Center STAFF

 

 

Location:

SMart-Center 505 N. Old York Rd. Jenkintown Square, Jenkintown, PA 19046

Contact Information:
General Email: SMartCenter@selectivemutism.org
Phone number: 215-887-5748
Fax: 215-827-5722
Phone number to call for MEDICAL emergencies OR on day of in-person consultation:  215-840-9700
SMART-Center's Mission

 

 

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To provide a comprehensive CENTER for families and children that addresses the needs of the Selectively Mute child/teen. Since few professionals/educators truly understand Selective Mutism, our children are frequently misdiagnosed, mismanaged and misunderstood.

The SMart Center gives our children a place to feel safe and “at home." The Center enables for our children to feel comfortable  where others 'understand.'

Because we SEE our children the correct way, we are able to provide ACCURATE evaluations and testing results and make the necessary treatment recommendations for at home, within the school environment as well as the ‘real world.’

The SMart Center also offers an array of products and services to parents, treating professionals, researchers and educators to help educate and promote the awareness and understanding of Selective Mutism.

The SMart Center is closely affiliated with the
Selective Mutism Group Childhood Anxiety Network (SMG~CAN).
Members of the SMG~CAN are given discounts on SMart Center consultations, conferences and product
s

 

 

 

 

 

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Philosophy of Treatment

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The SMart Center is a comprehensive treatment and research Center focused exclusively on the anxiety disorder, Selective Mutism in young children and teenagers. The center is directed by Dr. Elisa Shipon-Blum.

Treatment philosophy centers on viewing Selective Mutism as a
communication anxiety disorder and treating the ‘whole child,’ not just a child’s mutism. The name, SELECTIVE MUTISM, implies that the main and only issue with ‘silent’ children is their ‘inability to speak.’ As a result, so many focus treatment and understanding on ‘ways to get the child to speak.’ This is incorrect and usually leads to worsening and prolonged anxiety; hence minimal progress.

Upon examination of the child with Selective Mutism it becomes clear that many children suffering in silence are unable to communicate nonverbally as well as verbally, and many cannot communicate at all when anxious.

Through years of working directly with children with Selective Mutism and understanding that each child has their unique needs,  Dr. Shipon-Blum has developed a treatment approach called: 
Social-Communication Anxiety Therapy (S-CAT). This treatment approach is  currently being used successfully by numerous practitioners around the country. Researchers are presently studying the short term as well as long terms success rates of S-CAT.

In order to help the anxious child with Selective Mutism one must first understand the child’s unique behavioral characteristics which are affected by a multitude of factors
(ie, genetics, environment, innate temperament, cognitive and developmental levels, etc). With a comprehensive understanding of the child 's characteristics, the degree of ‘communication anxiety’ in various settings needs to be assessed.  Children with SM have different levels of anxiety from setting to setting. Communication impairment needs to be determined from setting to setting in order to truly help the child develop coping skills and ultimately communicate verbally.

To accomplish this, SMart Center professionals use a variety of assessment tools, school/home evaluations and parental/school interviews. Then with results from the evaluation of the child (via in person and/or via taping), as well as a physical examination (if necessary) the degree of communication anxiety in multiple settings is assessed.

Communication Anxiety Treatment approaches and strategies are then determined and incorporated with the child's unique needs and characteristics. An individualized treatment plan focusing on the 'whole child' will be developed that together with the child, parents and school working as a team, will enable for steady and consistent progress.   

In addition, Dr. Shipon-Blum offers Academic testing to enable for accurate testing and assessments which can then be used to aid in proper school placements, IEP/504 development, etc.
 

Specific strategies are determined after a thorough initial consultation. Together with the child, parents and school working as a team, Dr. E develops an individualized treatment approach using Social- Communication Anxiety Treatment
(S-CAT).
Tactics/Techniques focus in the REAL WORLD ( home, school, other social situations ( ie, restaurants, stores, parties, family gatherings) enabling for steady and consistent progress and at the same time, the development of necessary life coping skills.

 

 

 

 

 

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about

 

About Dr. Elisa Shipon-Blumass


Elisa Shipon-Blum DO
is the CEO and Executive Medical Director of the Childhood Anxiety Network, Inc (CAN) and the Selective Mutism Group Childhood Anxiety Network. (SMG~CAN). The SMG~CAN is a division of the 501©3 organization, the Childhood Anxiety Network, Inc.  She is also the
President & Director of the Selective Mutism Anxiety Research and
Treatment Center (SMart-Center) located in NE Philadelphia, Pennsylvania.

In addition, Dr Shipon-Blum is Clinical Assistant Professor of Psychology and Family Medicine at the Philadelphia College of Osteopathic Medicine. She is a board certified family physician who specializes in the childhood anxiety disorder, Selective Mutism.

Dr Shipon-Blum practices in Philadelphia, PA and has dedicated years studying, researching and treating individuals with Selective Mutism. She consults worldwide with families, treating professionals and educators and has helped numerous children from around the world overcome Selective Mutism.   Dr. Shipon-Blum lectures throughout the country on the topic of Selective Mutism, performs school evaluations and trainings for treating professionals and educators.  Dr E is considered one of the world’s leading experts in the treatment and understanding of Selective Mutism.


Dr. Shipon-Blum is presently involved in multiple collaborative research projects and has written books on Selective Mutism and anxiety including: 'Easing School Jitters for the Selectively Mute child,' ‘Easing Scho0l Jitters for the Anxious Child,’ The Ideal Classroom Setting for the Selectively Mute child,'  'Understanding Katie' (a book series about a little girl with Selective mutism), Supplement Treatment Guide Book to ‘Understanding Katie,' and the Selectively Mute Child in the Real World  (coming late 2004)


Dr. Shipon-Blum prides herself on being 'down to earth' and 'easy to speak to', and resides with her four young children and husband in the NE suburbs of Philadelphia Pennsylvania.

 

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Services Offereda

 


 

 

The SMart Center offers an array of services including:

 

 

Û            In-person and teleconference consultations and evaluations
Û
          Evaluation/Assessment and treatment of the Selectively Mute and/or socially anxious child via development of individualized treatment plans for 'home' and/or
  'school'  (educational treatment plans). 

Û
            Individualized Educational Plan (IEP) and 504 Plan development

Û          Medication management

Û           School consultations (teleconference or in-person meetings

Û          Child evaluations within the school environment

Û          School in-service presentations to teachers and school personnel

Û         Professional consultations with therapists and physicians to assist with SM cases (in regards to directing therapy and/or medication management)

Û         Parenting workshops and presentations

Û         Workshops for large and small professional and consumer groups

Û         Conference seminars and sponsored speaking engagements

Û         Training seminars for school professionals and clinicians in the 'understanding and treatment of Selectively Mute children' and/or 'Development of an individualized   'treatment plan' for Selectively Mute children/teens

Û          Research studies and clinical trials via the research division of SMart Center

 

 

 

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ask

Consultation Formats 

 

 

Dr. Shipon-Blum receives numerous emails and telephone calls for advice about SM related issues.

Dr. E is pleased to consult with parents, school personnel and treating professional in either a private teleconference. An Ask the Doc consultation is specifically for individuals who have questions/concerns and would like professional advice on how to handle or deal with particular issues.

* An Ask the Doc consultation is NOT an initial patient consultation. There are no assessment forms to be filled out nor reports to be written.

Note: Your consultation is for educational purposes only. Dr. Shipon-Blum will assume no medical responsibility for medical care or decisions made based on information dispensed during your consultation. It is the responsibility of each individual to confer with their personal physician before making any medical decisions.

All Ask the Doc consultations are confidential.

Fees for telephone consultations:
Contact us

To schedule a private telephone consultation please
contact us or call: 215-887-5748 or SMartCenter@selectivemutism.org


 

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per
'PER SERVICE' CONSULTATION

 

For families or school personnel interested in a specific service or need,  i.e., school accommodation recommendations, (504 plans, IEP plans, school oriented questions) or treatment recommendations/questions, letter writing, expert testifying, second opinions, etc and other services that are not covered in the Initial Comprehensive Initial Consultation, a 'Per Service' Initial Consultation is available.

Fees for the 'Per Service' Consultation is based on time spent. Families and school personnel in need of specific recommendations will need to enable an evaluation for their child/student. Random strategies and tactics cannot be recommended since this will be of little value to the child.

Therefore, in order for Dr. Shipon-Blum or other professional staff of the SMart Center to provide the appropriate service,  time will need to be spent on the evaluation process. This includes the evaluation of the Selective Mutism Comprehensive Diagnostic Questionnaire (c) and The SM- School Evaluation Form (c) as well as other mutually decided assessment forms and/or review of past records.

For families or school personnel NOT wanting specific recommendations to a particular child, the ASK THE DOC Consultation (NON-Patient Consultation) may be more appropriate.

For the 'Per Service' consultation, families will need to supply a retainer fee; schools will need to provide a signed PO.

For questions please feel free to contact us by:
Phone: 215-887-5748 or email



 

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All Formats include the parent’s necessary participation in filling out the Selective Mutism Comprehensive Diagnostic Questionnaire (SM-CDQ) about their child as well as other assessment forms (specific to consultation format chosen)

We will send the questionnaire by e-mail, fax or regular mail after a confirmation for an appointment is made.

 

 

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COMPREHENSIVE INITIAL CONSULTATION
PHONE or IN-PERSON


 

            -         Evaluation of SM CDQ (SM Comprehensive Diagnostic Questionnaire) ©

 

            -          Evaluation of ‘Anxiety’ and symptom inventory via multiple screening assessments (parent/teacher forms)

 

            -          Evaluation of SM-School Evaluation form ©
 

            -          60-90 minute consultation with parents (- same visit as child's evaluation)

 

          -       20-30 min evaluation of child: in-person (includes brief physical examination if necessary)
          OR 20-30 minute videotape evaluation for telephone consultation   
            
          ** Note: Dr. Shipon-Blum may request a video of your child after in-person evaluation for further assessment of your child, if necessary

 

            -          Evaluation of most recent and/or most relevant school records/previous educational and/or psychological testing reports.


--->
COMPREHENSIVE Report consisting of summary of relevant history, summary of child evaluation results, explanation of child's stages of communication from setting to setting, evaluation results (explanation of results of SM CDQ, and symptom inventory, multiple 'anxiety'  forms (parent/teacher), summary of etiology (causes), possible precipitating and propagating factors, Diagnosis (if applies) and specific recommendations for home/school, approach to treatment and follow-up recommendations.   Average report length: 10-16 pages

 

Fee: Contact us

 

 

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COMPREHENSIVE INITIAL CONSULTATION - PLUS
** only available for in-person consultations

 

Format 2 as above (Standard Initial Consultation) PLUS *Academic Assessment Testing

Fee:
Contact us

 

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Home Treatment Plan Consult

          
-          
Evaluation of SM CDQ (SM Comprehensive Diagnostic questionnaire) ©

 

-              Evaluation of ‘Anxiety’ and symptom inventory via multiple screening assessments

 

-                Evaluation of SM-School Evaluation form (c)
 

-            40-60  minute Initial Consultation with parents for in-person consultation (same day as child) OR 60 minute teleconference

 

-           15- 30 minute evaluation with child for in-person (includes physical examination if necessary) OR 15-30 minute videotape evaluation for telephone
            consultation Note: Dr. Shipon-Blum may request a video of your child after in-person evaluation for further assessment of your child, if necessary.

 

-              Evaluation of recent school records/previous educational and/or psychological testing reports

 

-            ONE 50-60 minute FOLLOW-UP Consultation with parents to go over specifics about Home Treatment Plan.


Follow up is without child and is recommended within 30 days of receiving plan and must be scheduled within 8 weeks of initial consultation.
FOLLOW-UP questionnaires  (for parents and teachers) will be sent to family prior to follow-up appt to help Dr Shipon-Blum evaluate progress and make additional recommendations. Follow-up appt is crucial and will help to TWEAK plan and move forward with progression.

*Note: involved therapists, school personnel are encouraged to attend the follow-up appointment
 

HOME TREATMENT PLAN includes:

-                     Official psychological diagnosis (If applies)

-                     Summary of consultation

-                     Summary of assessment and evaluation results

-                     Summary of child’s social/academic/emotional functioning in a variety of settings with recommended treatment approaches

                -                   Overview and summary of child’s assessment and acknowledgement about their OWN understanding of their ‘inability to speak’ and specific
                 recommendations on how to help child understand their anxiety.    (This is crucial in enabling for treatment progress!)

                -                   Address the necessary aspects of your child’s UNIQUE personality and behavioral characteristics for effective treatment which is included in treatment
                 process.
 

                -                  Recommended treatment approach
                     Specific types of therapeutic regimens are recommended based on child’s anxiety level and individual personality traits.

         Variety of treatment tactics are written in an organized and stepwise manner to allow for an easy-to-understand individualized treatment progression
    path.
    Geared towards:
  à Helping the child acknowledge/ understand their anxiety
  à Lowering anxiety, building self-esteem and increasing confidence in social settings 
 

-            Goals with specific instructions are set-up on GOAL/Reward chart

 

 

Fee: Contact us
 

After the initial Follow-Up consult included in plan, additional Follow-Up consultations are 50 minutes in length and include an evaluation of  the SM Follow-Up Questionnaire  (c) and SM School Evaluation Form (c)

 

 

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For 2-8 yr olds

Home Treatment Plan PLUS

** Only available for in-person consultations

 

Format 3 as above (Home Treatment Plan) PLUS *Academic Assessment Testing

 

Fee: Contact us

 

 

 

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Educational Accommodation  Plan

 

(For accommodations within the school and/or the development of an IEP or 540 plan)

 

 

-             Evaluation of SM CDQ (SM Comprehensive Diagnostic questionnaire) ©

 

-                Evaluation of ‘Anxiety’ and symptom inventory via multiple screening assessments (parent/teacher forms)

 

-                Evaluation of SM-School Evaluation form ©

 

-                Evaluation of school records/previous educational and/or psychological testing

 

-                90-120  minute Initial Consultation for  in-person evaluation   OR    60  minute Teleconference Consultation with parents and/or school personnel  to aid in
             the development of an Individualized Educational Plan (IEP)/ 504 plan or to develop tactics and recommendations to accommodate the child/teen’s
             Selective Mutism within the classroom environment (If travel needed, travel time additional and billed separately)

 

-           30-60  minute evaluation with child for in-person (includes physical examination if necessary)  OR  15-30 minute videotape evaluation for telephone
             consultation
Note: Dr. Shipon-Blum may request a video of your child after in-person evaluation for further assessment of your child, if necessary

 

-               60-75 minute FOLLOW-UP Consultation with parents and/or school personnel following the development of educational treatment plan
           (to discuss plan and school treatment strategies). Recommended 30 days after plan has been instituted to tweak plan and make additional
            recommendations. 
àIncludes evaluation of follow-up questionnaires by parent and teachers
 

 

Ø                 Educational Treatment Plan.

This is an individualized and specific instructional plan for both the parents and the school personnel, such as the teacher and other school professionals (including treating professionals) involved with your child. 

The Educational treatment plan will:

The SCHOOL plan will focus on tactics that educators can use in the classroom to accommodate the child/teen with SM.
School psychologists, guidance counselors, speech and language specialists, learning consultants, and all teachers who come into contact with your child should refer to this plan and use it as a guide to help the child within the school setting. Individual Educational Plans (IEP’s) and 504 plans should be designed with this plan as a basis for goals and tactics to be implemented within the school environment.  In addition, this plan will have recommendations for parents to use to help their child feel more comfortable within the school environment

The primary goal for this plan is to direct parents and school personnel on how to best accommodate the SM child’s specific needs within the school environment

 

 

Fee:  Contact us

 

After the initial Follow-Up consult included in plan, additional Follow-Up consultations are 50 minutes in length and include an evaluation of the SM Follow-Up Questionnaire  (c) and SM School Evaluation Form (c)

 

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For 2-8 yr olds

 

Educational Accommodation PLUS

** Only available for in-person consultations

 

Format 4 as above (Educational Treatment Plan) PLUS *Academic Assessment Testing
**Requires additional office visit or extended intial visit.

Fee: 
Contact us

 

 

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Comprehensive Treatment Package


(COMBINATION of both the HOME TREATMENT PLAN (Format 3) and the EDUCATIONAL TREATMENT PLAN (Format 4) in a Cost-Effective Package.

 

 

Includes:   

  1.   Evaluation of SM CDQ (SM Comprehensive Diagnostic questionnaire) © 

  2.   Evaluation of ‘Anxiety’ and symptom inventory via multiple screening assessment forms/tools.

  3.   Evaluation of SM-School Evaluation form © 

  4.   60- 120  minute Initial Consultation for in-person consultations; OR 60 minute teleconference

  5.  15- 30 minute evaluation with child for in-person (includes physical examination if necessary) OR 15-30 minute videotape evaluation for telephone consultation Note: Dr. Shipon-Blum may request a video of your child after in-person evaluation for further assessment of your child, if necessary.

  6. Evaluation of recent school records/previous educational and/or psychological testing report.

  7. ONE 50-75 minute FOLLOW-UP Consultation with parents to go over questions about Home Treatment Plan.  Follow up is without child and is recommended within 30 days of receiving plan and must be scheduled within 8 weeks of initial consultation. 

  8. ONE 50-60 minute FOLLOW-UP Consultation with school personnel.
     

  9. FOLLOW-UP questionnaires will be sent to family and school prior to follow-up appt to help Dr Shipon-Blum evaluate progress and make additional recommendations. Follow-up appt is crucial and will help to TWEAK plan and move forward with progression.   *Note: involved therapists, school personnel are encouraged to attend the follow-up appointment

Ø             Comprehensive Treatment Plan includes:

** The primary goal for the comprehensive treatment package is to direct parents and school personnel on how to best accommodate the SM child’s specific needs within the Home and school environment and at the same time enable for positive and steady treatment progression.

 

 

Fee: Contact us

                                        

 After the initial Follow-Up consult included in plan (allow for extra 30 minutes for follow up to discuss Academic Assessment results) additional Follow-Up consultations are 50 minutes in length and include an evaluation of the SM Follow-Up Questionnaire  (c) and SM School Evaluation Form (c)

 

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For 2-8 yr olds
Comprehensive Treatment Plan PLUS

** Only available for in-person consultations


Format 5 as above (Comprehensive Treatment Plan) PLUS *Academic Assessment Testing

Fee: 
Contact us

 

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                                                      pe    Format-Pending: pe


Unsure of which format to choose?
Not sure of your child's specific needs?


We recommend going with FORMAT PENDING, then on day of appt, speak directly with Dr. Shipon-Blum about your situation and specific treatment needs. 


We will send you a confirmation email indicating this.  You will be asked to fill out all necessary paperwork to enable for ALL formats. This way, once a decision about which format is needed, all information has been supplied to Dr. Shipon-Blum and she can begin your treatment report/plan.

If you request an academic assessment, please let us know PRIOR to booking your appt. More time is needed for your initial evaluation.

**Format Pending indicates that at a minimum, you will choose initial Format ONE.

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Academic Assessment Testing

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Purpose: Academic testing to aid in proper school placement, development of IEP or 504 plan, to enable for a better understanding of child’s individual needs within the school setting to enable for academic success.
 
 Dr. Shipon-Blum now offers a nonverbal assessment tool to help assess:

 

·                    Cognitive skills 

·                    School readiness

·                    Conceptual and basic skills

 

Results of the test correlate with IQ and academic level of achievement. Written Report will include:

-                     Specific areas of academic strengths weaknesses,

-                     Scores and Percentages (compared to other children)

-                     Assessment of anxiety level during testing

-                     Recommendations for school personnel, based on child’s reactions during testing and overall scores, to help accommodate child within the school setting.
 

Time for testing - 60 minutes to be added to appointment time or scheduled for another day.

 

Parents provided with a written report with scores, percentages, recommendations and professional input that results have on the child's academic performance and
 achievement. Specific advice will be written to help educators 'understand' child's individuals learning process.

Fee:
Contact us
 

 

 

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Follow-up Consultationssss

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Follow-up consultations are obviously recommendable to enable for steady progress.

Follow-ups are 50 minutes in length and includes:
SM Follow- UP Questionnaire (c)
SM School Evaluation Form (c) 


How often are follow-up consultations needed?
This varies, but the majority of children are seen every two weeks to monthly. 
Time is needed between sessions to work on treatment goals/games that are planned during each and every session.

Fee:
Contact us

 
See below for follow-up appointment descriptions.

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Consultations for Treating Professionalss

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Ask the DOC consult

BASIC Selective Mutism questions answered. This consult is excellent for treatment professionals who have general questions about the anxiety disorder, Selective Mutism.  This is not for families of SM children.
Fee:  Contact us

Case Study Consultation:cs
Treating professionals working with a child with Selective Mutism are able to consult  with Dr. Shipon-Blum on particular cases.
This consult includes
evaluation of brief SM-CDQ © (SM- questionnaire) prior to consultation in order to Dr. Shipon-Blum to have an understanding of the child's individual characteristics.
Fee:
Contact us

 

Follow-Up consultations for treating professionals or school personnel

Evaluation of follow-up questionnaire and 50-minute phone consultation
Billed in 10-minute increments. Fee:
Contact us


Brief follow-ups:

Phone correspondences: Billed in 10-minute increments. Fee: Contact us
E-mail correspondences: Billed in 10-minute increments. Fee 
Contact us
 

 

 

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Additional Services
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Follow-Up phone and in-person consultations with parents/child

 

-                Regular follow-up consists of evaluation of SM Follow -UP Questionnaire (c) and SM School Evaluation Form (c)
(Accessible via LINK on internet sent by e-mail a few days prior to appointment) * Can also be faxed or mailed   
50 minute sessions spent with child and/or parents   Fee:
Contact us
 

-             Brief phone and e-mail consults:
Fee:  Billed via time spent.  Fee based on 10 minute increments

 

Medication management:

Dr. Shipon-Blum will help manage medication for out of state families if a prescribing physician is involved in the case.
A Follow-up medication questionnaire is required for each dosage adjustment.

Fee: 20-minute consults; Contact us
Additional time billed via 10 minute increments

Treatment management:

Dr. Shipon-Blum will help manage cases with treating professionals in need of advice on treatment strategies and tactics to help enable for progression of communication comfort and lowered anxiety.
Fee:  15-minute consults.
Contact us
Additional time billed via  10-minute increments
 

School teleconference with school personnel and/or parents:
School meetings (in person): ** for IEP meetings, prehearings, hearings
Letter writing/editing; report writing/editing.
Document review (ie, school assessment reports)
 

For Fees above: Contact us
 

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