Your 1st Step
Let's Talk About Your Child's Needs
Concerned about your child's speech, language, or feeding development? You do not have to figure out the next step alone.
At 1st Foundations Pediatric Therapy, we provide private-pay virtual speech, language, feeding, and parent coaching services designed to give families personalized care without the restrictions often associated with insurance.
Schedule a free 15-minute consultation to discuss your concerns, ask questions, and determine whether an evaluation, therapy, or parent coaching is the best next step for your child.
No referral is required, and there is no obligation to schedule services after your consultation.
Serving families across Virginia through secure virtual therapy from the comfort of home.
You’re in the Right Place
Speech and Language
- Few or no words for their age
- Difficulty being understood
- Delayed speech or language development
- Trouble following directions or communicating needs
- Frustration related to communication
- Concerns about play, interaction, or early communication skills
Feeding and Mealtimes
- Difficulty transitioning to solids or new textures
- A very limited variety of accepted foods
- Gagging, coughing, or distress during meals
- Trouble drinking from a bottle, straw, or cup
- Long or stressful mealtimes
- Difficulty chewing or managing food
- Parent concerns about whether a child is eating safely or adequately
Families often contact 1st Foundations because they have questions or concerns about:
You do not need to know exactly what type of service your child needs before contacting us. That is what the consultation is for.
What Happens Next?
You do not need to gather extensive records before scheduling your consultation. Simply come prepared to share what you have been noticing. No referral is needed consultation, evaluation, or therapy.
Virtual Care That Includes You
Virtual pediatric therapy is more than a child sitting in front of a screen.
Parents and caregivers are active partners in the process. During sessions, you receive practical strategies that can be used during everyday routines such as meals, play, bath time, reading, and family activities.
This allows therapy to extend beyond the scheduled appointment and into the moments where children learn best.
1. Schedule Your Free Consultation
Choose a convenient time for a complimentary 15-minute virtual conversation.
2. Share Your Concerns
We will talk about what you are noticing, your child’s developmental and medical history, and your goals for your child and family.
3. Receive a Clear Next Step
Following our conversation, we'll recommend the next step that best meets your child's needs. This may include:
- A comprehensive speech, language, or feeding evaluation
Individual private-pay therapy
Parent coaching
A customized therapy package
Referral to another healthcare provider or community resource
Monitoring your child's development before beginning services
If you decide to move forward, we'll review our private-pay services, fees, and scheduling options so you can make the choice that's right for your family.
Why Private Pay?
At 1st Foundations Pediatric Therapy, we have chosen a private-pay model so therapy can focus on your child's individual needs rather than insurance requirements.
Private-pay care allows for:
Personalized treatment plans based on your child's goals—not insurance limitations.
Flexible scheduling that works for your family.
Direct communication with your therapist.
Parent coaching and education integrated throughout the therapy process.
The freedom to determine the frequency and duration of services based on progress, not visit limits.
We understand that choosing private-pay services is an investment. During your free consultation, we'll answer your questions, review fees, and help you determine whether our services are the right fit for your family.