Services

Consultation

If you have concerns about yourself or your loved one, please contact us to schedule a free, no obligation 30-minute phone consultation. You can reach us by calling (970) 658-0688 or emailing us individually. We will be happy to answer any questions you have and recommend a future course of action.

Michelle Underhill, MA, CCC-SLP (Speech-Language Pathologist): michelle@nocotherapy.com

Kayla Bach, MOTR/L, C/NDT (Occupational Therapist): kayla@nocotherapy.com

Speech Therapy Evaluation and Treatment

Speech articulation, intelligibility

Language: expressing thoughts, understanding incoming information from others

Voice quality, loudness

Cognition: attention, reasoning, memory, processing information

Swallow safety, strategies, texture or consistency recommendations

Occupational therapy evaluation and treatment

Functional Mobility in the home and community

Fall prevention

        Independence with self-care and home management tasks

Handwriting legibility

Urinary incontinence

Informal driving assessments

Home safety evaluations

Cognition: attention, reasoning, memory, processing information

Functional activity tolerance

Reduced Intensity Therapy

You may feel that you need therapy, but are not sure if you can participate with the level of intensity or commitment required by LSVT BIG® and LSVT LOUD®. There are many alternatives. Let us work with you to determine the most beneficial course of action for your personal needs. We are passionate about improving lives, and always recognize that there is more than one right way to accomplish that together!

Maintenance Therapy

There are situations where no significant improvement is expected, but skilled care may be needed for maintenance (to prevent or slow a decline in condition). According to Medicare guidelines, if skilled care is “reasonable and necessary,” and supported appropriately by therapist documentation, covered services are allowable under Medicare Part B coverage. If you are interested in further information, it can be found here, under the Jimmo v. Sebelius ruling.

End of Life Care

Your loved one may be nearing the end of his or her life. Perhaps you are wanting to make him or her as comfortable as possible, but need help in knowing how. Speech-language pathologists and Occupational therapists can play a critical role in helping you and your loved one approach end of life issues with knowledge and dignity. It is common for communication, changing positions in bed, swallowing and eating, transferring from one place to another, and toileting to become more difficult. If you have decided to not seek aggressive interventions, but would like your loved one to be as supported as possible, we would be honored to help you on this journey.