A session behind a closed door, and a worried parent on the line
In private practice, a speech-language pathologist works alone or in a small team, and the day is made of sessions during which nobody picks up the phone. That is when the parent whose daycare suggested an assessment calls, along with the adult relearning to speak after a stroke and the family whose school wants a report.
Public speech therapy is free. In Quebec, the professional order points families to the CISSS and CIUSSS health networks, to 811 (press 3) for people without a family doctor, to the Agir tôt program for children up to age five, and to schools. Elsewhere, provincial colleges regulate the profession: CASLPO in Ontario, the College of Health and Care Professionals of BC in British Columbia. In private practice, families call you directly. They ask whether you have room, how long the wait is and whether their insurance pays.
Your receptionist takes those calls in English or French. She records the age, the concern in the parent’s own words, who holds parental authority and who will come to the appointment, and any referral or report already received. She does not say whether a child is delayed, reads no report and promises no wait time: if you are full, she says so, and the request waits for you with its date.