Booking an Appointment

Appointments can be made either in clinic, at your home, school or nursery.


Clinic appointments are at:

Wells Road Osteo150x179_q75_t_osteo_sign253paths, 253 Wells Road, Bristol, BS4 2PH

Phone them on 0117 971 0221 to book an appointment and contact me to discuss your needs.150x179_q75_t_253_reception

Please visit their website for more information on the services available there.

Before starting therapy please download, complete, sign and return this consent form.


Consent form

See here for information on my fees.


Home, school or nursery visits:

I am happy to visit you, but do charge for my travel time (apart from LSVT).

Phone me on 0117 230 6678 to arrange an appointment.

Please email me with your postcode for my travel fee to come and see you. This is charged on top of my therapy fee.

Before starting therapy please download, complete, sign and return this consent form.

Consent form


Telehealth (Skype or Google+ Hangouts):

If you are unable to come to clinic I can, in some circumstances, treat you via video call.

Fees and Payment

Consent for therapy and liaison

Before starting therapy please download, complete, sign and return this consent form.

It records your consent for therapy, agreement to pay my fees, and requests your permission for me to contact other professionals in connection with your therapy.

Consent form

Initial appointment

£85 for 1 hour, to include case-history and baseline assessments.


Therapy session

£45 for 30 minutes, including handouts

£65 for 45 minutes

For LSVT Parkinson’s Disease therapy fees, see the Parkinson’s Voice Therapy page.


Payment is accepted by cash,  cheque or PayPal to at the end of your appointment.



Please give 24 hours notice if you need to cancel, otherwise you will be liable for the full fee.


Letters and reports

Standard letters and short reports are included in the fees.

Personalised letters and reports will be charged at £45 per half hour.

Reports and letters will be emailed to you free of charge.

Alternatively I charge £1 per envelope posted via Royal Mail (letter size).


Travel charges

Mileage for home or school visits will be charged at £6 per 15 mins for the round trip
(as estimated by Sat Nav/online journey planner).

Please check travel time below by clicking on the location pin and “Directions to” in the bubble. Allow double the time given and round up to the nearest 15 mins.

[mappress mapid=”1″]



I am a registered provider with AXA PPP,  Bupa, WPA, Simply Health, Alliance Surgical and PruHealth.

Please provide me with confirmation of eligibility for therapy and I will bill them for treatment.

Please ask if you are insured by another company and I will register with them.





I am an experienced adult trainer and can design and provide training in many areas, including language development and voice care.

Please contact me for more details.


Childminder Training

I have presented at the Childminder’s Conference in Bristol twice.


Voice Care

I can provide a 1 hour training session for your staff on keeping their voices healthy. This is particularly suitable for teachers, early years practitioners and others who use their voices professionally.


Hanen Training

I am qualified to provide two Hanen Programmes (both group sessions):

  • Learning Language and Loving it (for Early Years Settings)
  • It Takes Two to Talk (for parents of children with identified Speech, Language and Communication Needs)

NHS Liaison


I am keen to work closely with any NHS Speech and Language Therapist that is working with your child and will need permission from you for this. We will decide how we will work together. Sometimes this may mean the NHS therapist might take the lead, sometimes they may concentrate on school and I may work with you at home.

What happens at an appointment?


Appointments are available both at the Wells Road Osteopaths Clinic and at your home.


First appointment

Your child’s first appointment usually lasts for an hour. At this appointment we will discuss your child’s developmental, medical and language history.

I will observe and may formally assess your child’s language and/or speech abilities. I will give advice and a short report.



Therapy appointments will usually last half an hour and tend to include following up on previous advice and exercises to practice at home. Most therapy for children will be play based.

Are you worried about your child’s speech or language development?

Child having therapy

Is your two year-old child not using two word phrases yet?

As children of this age are not able to do direct therapy, work is done though Parent-Child Interaction advice and practice.

I am licenced to provide the    It Takes Two to Talk programme as a 1:1 parent programme.

Is your child’s speech difficult to understand?

Some children find it difficult to develop the full range of speech sounds needed to speak clearly. I can assess your child’s speech sounds and provide the therapy needed.

Is your child having difficulty learning to read?

If your child’s speech was unclear when they were younger, they may not be able to manipulate sounds well enough to decode for reading. I can assess this ability and give advice for home and school.

 Is your child silent in some situations?

Some children have an anxiety disorder called Selective Mutism. This means that in some situations they talk freely (often at home) and in others they do not talk at all, or only a little (often at school).

I have been trained by the UK’s expert in Selective Mutism, Maggie Johnson, and can help diagnose and treat this socially crippling condition.

I am proud to be a Trustee of SMiRA, the UK Selective Mutism Charity. Check out their brilliant Facebook support group as well

Useful links

More information about Speech, Language and Communication needs for children can be found on the Talking Point website.

This is a great illustration of the complexity of coordinating your lips, jaw, tongue, voice and palate for speech:


Top Tips for “Passing”


These are not necessarily to do with your voice, but are to do with “passing”.

If the people that you meet are unsure of your gender they are likely to either ignore or abuse you. Your enemy here is gender ambiguity. Generally if you give enough cues to people to nudge them in the “female” direction, they will accept it and address you as such.


Top tip 1

Choosing your name. Not many people get to choose their own name. It is a bit like being your own parent! The best names to choose are unambiguously female names. You don’t need to be called Crystal or Fifi Trixibelle (though of course you can if you like!), Sarah or Jane are just fine, but Jo and Sam are ambiguous and don’t give enough cues to people to nudge them in the direction you want.

Top tip 2

Answering the phone and making calls. With your new gender obvious name always start a phone conversation with “Hello, it’s Sarah (Jane or Crystal!). This works both if you are making a call, or answering the phone and again, gives a useful cue. On the telephone people can’t see you, and your voice and name is all they have to go on.

Top Tip 3

Clothes. You don’t need to wear a skirt or dress all the time, and it’s not all about frills and flowers. Look around you, few women do. But be careful of presenting as androgynous.
Some “new” women can also get a bit giddy and go through almost an adolescent phase as the hormones and relief at finally getting going on their journey kick in.

Again, look around you. What sort of style do you like? Look in magazines

Top Tip 4

Those little touches. Though some people have to wear heavy makeup, some are lucky not to. If you are in this position I suggest that you still use a little lippy and/or eye makeup and some jewellery. Again it is a visual cue to nudge.

What happens at an appointment?



Your first appointment will last an hour. At this appointment I will take a detailed case history from you. This will include your medical history, transgender history and lifestyle. I will take some baselines of your voice and will teach you how your voice works and will give you tailored exercises to start you on the process of feminising your voice. None of this is physically invasive.

You may be asked to consult your GP about health issues that could be affecting your voice. If your voice is hoarse I will ask that you be referred to the ENT consultant (see here)

Specialist Software

You will be asked to purchase the Student Package of Sing and See software to use to practice at home. This software is available both for PC and Mac.

Click here to be transferred to the Sing and See website for a copy of the software.


Therapy appointments will usually last half an hour and tend to include following up on previous advice and exercises to practice at home.

Therapy sessions can involve quite a lot of problem solving to work out how to make the necessary changes needed to feminise your voice and become a more complete woman.

Sometimes therapy can be quite challenging for people as they think and learn about themselves in ways they have not done before. We will explore what type of woman you are now and wish to be in the future. I will support you through this process.

Transgender Voice Feminisation

What is voice feminisation therapy?

Voice feminisation therapy for transgender clients is a specialist area of speech and language therapy. It combines acoustic assessment, visual feedback (using specialist software), strategies and support for pitch change, resonance, intonation, body language and visual cues.

In therapy I guide you and teach you strategies to make this huge change.