How to Schedule a FEES
Obtain a Signed Order
Procedures are completed at the patient’s bedside in a medical, home health, or skilled nursing facility with a physician or nursing staff readily available. Please obtain a copy of the physician’s order for a FEES procedure from your facility’s Electronic Medal Records (EMR) system or use the template provided. Fax a copy to (757) 250-4041.
Medical History & Client Intake Form
Before the procedure, the clinician will review the patient’s medical history and any other pertinent medical and health information. Please download a copy of the intake form below and fill it out. Email a copy to pamela@pjwspeechandlanguage.com or fax it to (757) 250-4041.
Prepare a FEES tray
Please use the checklist below to prepare a FEES tray. It is a list of textures we can use to assess the swallow function, but we can also discuss what textures and consistencies to prepare before the FEES exam.