If you, or someone you care for, would benefit from attending the clinic as a client, please fill out one of the following referral forms. It will ask if a professional recommended speech and language therapy or what diagnosis you may already have. Completing this form is the first step to receiving services at the BYU Speech and Language Clinic.


Fill out an online form:

Pediatric (0-18 y/o) Referral Form:

Adult (18+) Referral Form:

If you prefer, you may print or download the form as an editable PDF document. Please note, you may need Adobe Reader for the pdf. Once the pdf form is filled out, email it to byuspeechclinic@byu.edu or print it and mail/fax the form to the Speech and Language Clinic.

Pediatric (0-18 y/o) downloadable form: [English] / [Spanish]      
Adult (18+) downloadable form: [English] / [Spanish]

Application Process

  1. Referral Form

    Fill it out online or download the form and email it to byuspeechclinic@byu.edu, or fax it to (801) 422-0197.

  2. Confirmation & Evaluation

    We will contact you via email when your form has been received and processed. Additional information may be requested. Estimated time of confirmation is about a week.

  3. Scheduling of Services

    If we determine that our services are a good fit, we will contact you to schedule session times. As we schedule services for you, we pair the academic requirements and availability of our students with your needs. Due to the high demand for services, you may be placed on a waiting list.

  4. Treatment

    Enrollment in treatment services typically coincides with the beginning of each new semester and term, though we admit new clients throughout the semester based on student and client needs.

Waitlist Information

The clinic has from 20 to 70 patients being treated by 20 to 25 student clinicians throughout the year. Depending on the services you are requesting, there may be a waiting list before your sessions can begin. The BYU Speech and Language Clinic is a teaching clinic, providing care for the community and training opportunities for graduate students. We match your therapy needs with the educational requirements and availability of our students in the most timely way possible.

Please note that child speech and language is the most popular service requested at our clinic. If you are asking for this service, it could be a much longer wait time. We are happy to keep you informed about your status should you be placed on a waiting list. Email us at byuspeechclinic@byu.edu for more information.

A doctor and her patient

Additional Information

Operating Months      
The clinic is open from September through mid-June, consistent with the academic calendar for fall and winter semesters and spring terms at BYU.

Referrals from a Primary Care Physician      
You do not need a referral from a physician to be considered for services at the BYU Speech and Language Clinic.

Insurance Companies      
At this time, we do not bill insurance companies or Medicare/Medicaid. Currently, the fees are waived for all services.

For safety and liability reasons, we require a parent or caregiver of minor children to remain on site during sessions. Parents and caregivers are invited and encouraged to view a therapy session by closed circuit television on an iPad in the lobby. We can loan you an iPad during your child’s session when you have completed a form. It will be easier for you to listen to the session if you bring your own earphones. No facilities are available to care for unattended children.

Receiving Services Again      
We typically see clients for up to 4 semesters, though there are exceptions depending on your needs. At that time, you may be discharged to allow us to assist other clients. However, if you are temporarily discharged, you are welcome to put your name back on our waiting list to receive services again in the future.