Call us for an appointment: Rehab: 231.873.3577    |    Family Fitness: 231.873.3566

Our Licensed Speech Therapist, Donna Ferens, SLP, provides one-on-one services to adults and pediatric patients. Patients are evaluated using tests specific to each person’s individual need. We believe that family participation enhances overall progress and in empowering our patients through education. When indicated, a treatment plan is established including family/patient goals. We accept private pay for speech therapy services. Please contact us with any questions at 231-873-3577.

Speech Therapy Services:

  • One-on-one Evaluation and Speech Therapy sessions
  • Home site visits if the patient is unable to leave their home
  • Evaluation of swallow function under video fluoroscopy
  • Patient and Family Education
  • Flexible scheduling to accommodate busy families including early morning and late evening appointments

Common diagnoses treated:

Speech – Pediatric

  • Articulation
  • Childhood Apraxia of Speech
  • Stuttering/Fluency
  • Phonological Delay

Language – Pediatric

  • Expressive Language Delay
  • Receptive Language Delay
  • Pragmatics
  • Autism Spectrum Disorders

Speech and Language – Adult

  • Apraxia
  • Dysarthria
  • Aphasia
  • Stroke
  • Parkinson’s Disease
  • Swallowing Disorders (Dysphagia)
  • Stuttering/Fluency
  • Cognitive Rehab
  • Voice Disorders

When to refer to speech therapy:


  • Slurred speech or difficulty being understood
  • Word finding difficulty or expressing basic needs
  • Changes to memory or cognition including problem solving and overall safety
  • Difficulty swallowing liquids or solids or recent unexplained weight loss
  • Changes to vocal quality including a hoarse, harsh, breathy or raspy voice
  • New onset of neurological diagnosis


  • Parental concern about their child’s speech and language
  • Child whose play or social interaction seems inappropriate
  • Child who has difficulty understanding directions or what’s happening around them
  • Child whose speech is difficult to understand or uses few words
  • Child who is struggling in school
  • Difficulty with eating or drinking in terms of chewing and swallowing

Video Fluoroscopic Evaluations – Video Swallow Studies

A video swallow study is a swallow exam completed under x-ray to differentiate normal versus abnormal swallow function. It is used to identify the presence or absence of aspiration, least restrictive diet and liquid levels, and compensatory strategies and techniques to increase safety with intake. Video swallow studies are completed with the goal of reducing aspiration risk

What can be identified?

  • Aspiration
  • Silent Aspiration
  • Swallow delay
  • Weakness

Who may benefit from a video swallow study?

  • Patients with a previous diagnosis of dysphagia with suspected change in condition or a progressive condition
  • Patients with a medical diagnosis increasing risk of dysphagia including: neurological, pulmonary, GI, recent surgery
  • Patients who complain of difficulty swallowing, food getting stuck, coughing or choking during meals
  • Patients with frequent respiratory illness
  • Patients with weakness or unexplained weight loss

Please contact us with any questions at 231-873-3577 or stop by at 601 E Main Street in Hart location or send us a message. We are looking forward to hear from you.