Fees and Billing

The Ontario Association of Speech-Language Pathologists and Audiologists has a recommended rate of $190 per hour.  However, we have been able to reduce some of our costs in order to keep our fees to $150 per hour ($130 per 45 minutes, when appropriate).  Billable services include: assessment, treatment, caregiver training, team meetings, phone/email consultations (over 10 minutes), preparation & analysis (over 10 minutes), report writing, and travel time. We reserve the right to change fees at any time, however, existing clients will be given approximately three months’ notice of any rate changes.

Click here for our Assessment Fees


The full session fee will be billed for no-shows and for sessions cancelled with less than 24 hours notice.


An administration fee of $25 will be charged for any cheque returned by your bank for any reason, in addition to any interest charges on overdue amounts.


Our invoices are prepared at the time of service delivery and payment is due at that time.  Payment methods include cash, cheque, INTERAC e-transfer, Debit, Visa, or MasterCard.


Interest is charged at a rate of 2% per month on all outstanding balances. Accounts that are more than 90 days overdue are referred to collections or small claims court. Payment plans may be available.


Sound Expression’s billing relationship is with you. If you wish to use health insurance to cover some of our fees, we can provide some general information (e.g., see Insurance page on our website), but it is your responsibility to determine and monitor your coverage and to seek reimbursement from your insurer.


You may be eligible for a Disability Tax Credit.  If so, we can provide you with the information and tax form and sign it for you.  It is then up to the Canada Revenue Agency to determine your eligibility.  Fees for speech-language pathology services may be claimed as a Medical Expense on your taxes.