Referral Form

Unified Community Connections
No Boundaries Assistive Technology Center

    Patient Information

    Reason for Referral

    Fee Schedule

    Unified's No Boundaries Assistive Technology Center does not accept Insurance, Medicare, or Medical Assistance as Forms of Payment.

    Fees for services are listed below. Payment may be made on the day of service or, for your convenience, an invoice can be mailed following provision of services:

    Augmentative and Alternative Communication Assessment/Assistive Technology/Computer Access Assessment

    $350.00 for the initial assessment appointment
    $100.00 per hour if a second session is warranted



    Speech & Language Assessment/Swallowing Evaluation

    $300.00 for assessment




    $125.00 per hour