Any OTs, PTs, SLPs on the list feel free to comment, but I have been told
by therapists I work with as well as my all-knowing OT doctoral student
daughter, that therapists must have a doctor's order in hand before
treating a client.  Here at the hospital, our speech therapist works under
a standing order when we jointly see a mom/baby, but if said mom/baby were
to go to the clinic where she spends most of her time, mom must have a
doctor's order/prescription in hand.  This is also the only way mom's
insurance will cover the cost of the visit.  So, the LC may refer, the
mother may self-refer, but she will then have to self-pay, if she can get a
therapist to agree to see her without an order, which, according to my
sources is virtually impossible.

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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