Virtual & In-Home · GTA & Ontario

Your child has something to say.
We help them say it.

Neurodiversity-affirming communication support for children, adults, and seniors — delivered at home, online, or both. Transparent pricing. No long waits.

In-home: Markham · Richmond Hill  |  Virtual: All of Ontario

Book a free call → Free speech screening See pricing
HST-exempt services
SLP-supervised care
OAP & SSAH accepted
Pricing from $80
FREE CONSULT
Tell us about your situation
Call (289) 818-4441 or fill out the form below — we'll reach out within 1 business day

No commitment. We just want to hear from you.

🏠 Virtual & in-home sessions
👩‍⚕️ SLP-supervised care
💰 From $80/session
✅ OAP & SSAH accepted
🌿 Neurodiversity-affirming
Our approach

Therapy that feels like home

STEPS Communication therapist conducting a virtual speech therapy session online in Markham Ontario Speech language therapy session with a child using communication toys in Richmond Hill Ontario Communication Disorders Assistant working with an adult patient on speech recovery after brain injury
Sound familiar?

Finding speech support shouldn't feel this hard.

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Months on a waitlist — your child isn't getting younger while you wait.

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No pricing anywhere — you have to call just to find out what it costs.

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Clinical language that doesn't help — "delayed," "deficit," "disorder." You want to know what to do next.

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Nothing to take home — no notes, no guidance on what to practice until next week.

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We move quickly. We connect families with support as soon as possible — and if we can't, we'll help you find someone who can.

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Prices are right here. No surprises. Starting from $80/session for virtual CDA sessions.

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Strengths-first language. No "normal," "behind," or "delayed." Every communicator has strengths. We build on them.

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A handout after every session — practical activities to continue at home, plus a brief update on what we worked on.

Free communication screening

Is speech therapy the right next step?

Answer a few short questions. We'll give you an honest picture of what we're seeing and whether professional support would help. Takes about 2 minutes.

Step 1 of 7
Step 1 — About the person
Who are you completing this screening for?
This helps us tailor the questions to the right developmental stage and concerns.
👶My child — under 2 years
🧒My child — 2 to 5 years
🎒My child — 6 to 12 years
🧑My teenager (13–17)
🧑‍💼Myself — adult
👴A family member — adult or senior
Step 2 — Main concern
What is the primary communication concern?
Select the one that feels most urgent right now — you can mention others at the end.
🗣️Speech sounds — hard to understand, unclear speech
💬Language — limited words, sentences, or understanding
🔄Fluency — stuttering, repeating sounds or words
📖Literacy — reading, writing, or spelling difficulties
🎙️Voice — hoarse, weak, strained, or changed voice
🧠Brain injury / stroke — communication changes after injury
🤝Social communication — conversations, social cues, autism
❓Not sure — I just know something feels off
Step 3 — Duration
How long have you been noticing this concern?
Duration helps us understand whether this is a new change or an ongoing pattern.
📅Less than a few weeks — it's quite new
📆1 to 6 months
🗓️More than 6 months
⏳As long as I can remember
⚡It came on suddenly — after an illness, injury, or event
Step 4 — Daily impact
How is this affecting daily life?
Select all that apply — this helps us understand the full picture.
Causes frustration or upset
Affects friendships or socializing
Affects school or learning
Affects family communication
Affects work or professional life
Reduces confidence or self-esteem
Leads to avoiding talking
Minimal impact so far
Step 5 — Previous support
Has there been any previous assessment or therapy for this?
This helps us understand where you are in the journey — whether this is a first step or a continuation.
🆕No — this would be the first time seeking support
📋Yes — assessed before but no therapy yet
✅Yes — had therapy before, looking to continue or restart
⏳Currently on a waitlist somewhere
🤷Was told to "wait and see"
Step 6 — Your goals
What would meaningful progress look like to you?
There are no wrong answers. This helps us understand what success means for your family.
Be understood by others
Speak with more confidence
Improve reading & writing
Speak more fluently
Connect better with others
Recover communication after injury
Just understand what's going on
Tools to help at home
Step 7 — Anything else
Is there anything else you'd like us to know before we reach out?
Optional — but the more context you give us, the more helpful our call will be. Any diagnoses, concerns, or questions are welcome here.
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Based on what you've shared...
Important: This screening is not a clinical assessment or diagnosis. It is a general guide based on the information you provided. Only a registered Speech-Language Pathologist can formally assess communication abilities. If you have concerns, we always recommend speaking with a professional.

A free 15-minute phone consultation is the easiest next step.

Book my free call →
Who we help

Communication support at every stage of life

We work with children, teens, adults, and seniors across the GTA and Ontario — virtually or in your home.

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Late talkers & toddlers
Not saying words yet or fewer than expected. We start wherever your child is — no minimum age.
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Speech sounds
Hard to understand at school or home. Articulation and phonology support for children and adults.
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Language & literacy
Vocabulary, grammar, reading and writing — the foundations for school, work, and life.
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Autism & AAC
Neurodiversity-affirming support including augmentative and alternative communication tools.
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Fluency & stuttering
Compassionate evidence-informed support for children and adults who stutter.
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Voice concerns
Hoarse, strained, weak, or changed voice — support for voice concerns at any age.
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Brain injury & stroke
Communication and cognitive support for adults and caregivers after brain injury or stroke.
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Seniors
Supporting older adults to maintain communication, independence, and quality of life.
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Caregiver coaching
Practical strategies and handouts for families supporting a child or adult at home.
How it works

From first call to first session

No referral needed. No complicated intake. Just reach out.

1

Free phone consult

Tell us about your situation. We listen and figure out the right fit together.

2

SLP assessment

A registered SLP evaluates strengths and goals and creates a personalized plan.

3

CDA sessions begin

Your dedicated CDA delivers consistent sessions — at home or online — under SLP supervision.

4

Family stays in the loop

After every session: a brief update and a practice handout. You're always part of the team.

Pricing

What you'll actually pay

All services are HST-exempt. These are our standard rates — contact us for a quote for your specific situation.

CDA Support Sessions

Delivered by your Communication Disorders Assistant

30 minutes
Virtual
$80
In-home
$95
45 minutes
Virtual
$100
In-home
$120
60 minutes
Virtual
$120
In-home
$140

SLP Assessment & Review

Conducted by a registered Speech-Language Pathologist

Initial Assessment
Virtual
$250
In-home
$270
Progress Review
Virtual
$135
In-home
$155
Full Reassessment
Virtual
$250
In-home
$270

SLP therapy sessions — contact us for availability

🏥 Funding available: Many extended health plans cover speech-language services. We also work with families using Ontario Autism Program (OAP) and Special Services at Home (SSAH) funding. Not sure if you qualify? Ask us — we'll help you figure it out.

Your CDA and SLP never work in isolation.

At STEPS, the CDA delivering your sessions and the registered SLP overseeing your care are in ongoing communication — every step of the way. You get the consistency of a dedicated therapist and the clinical expertise of a registered SLP, working as one team for you.

1

SLP assesses & plansRegistered SLP conducts your assessment and builds a strengths-based therapy plan.

2

CDA delivers sessionsYour CDA implements the plan — at home, online, or both.

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Team reviews progress togetherCDA and SLP communicate regularly. Your plan evolves as you do.

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You stay informed after every sessionAn update and a practice handout — always.

About STEPS

Built on a belief that every voice matters

STEPS Communication was founded on a simple but powerful belief — that the ability to communicate is not a luxury. It is how we connect, how we learn, how we share who we are with the people we love. When that ability feels out of reach, everything else becomes harder.

We built STEPS because too many families were waiting too long, paying too much, and leaving appointments with too little. We wanted something different — care that is warm, honest, and built around the people we serve, not around a system.

Whether you are a parent watching your child work hard to find their words, or a caregiver supporting a family member after a stroke, you deserve a team that shows up — consistently, compassionately, and with genuine belief that progress is possible for everyone. Any support is better than none. We will always find a way to start.

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Neurodiversity-affirming

No "normal," "behind," or "delayed." Every communicator has strengths.

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Family-centred

You are part of the team. Handouts and updates after every session.

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Collaborative by design

CDA and SLP communicate consistently. Nothing falls through the cracks.

"What could be more powerful to support than a person's own voice — their ability to share moments, express themselves, and connect with the people they love?"
— The team at STEPS Communication
Where we serve

Speech therapy across the GTA & Ontario

Currently accepting in-home clients in Markham and Richmond Hill. Virtual sessions available to anyone in Ontario.

Markham

In-home & virtual

Richmond Hill

In-home & virtual

All of Ontario

Virtual sessions

📍 In-home area expanding soon. Not in Markham or Richmond Hill? Contact us — virtual sessions are available anywhere in Ontario, and our in-home area is growing.

FAQ

Questions we hear most often

What is a CDA and how is that different from an SLP?▾
A Speech-Language Pathologist (SLP) is a regulated health professional registered with CASLPO who conducts assessments, diagnoses communication disorders, and develops therapy plans. A Communicative Disorders Assistant (CDA) is a trained professional who delivers therapy under SLP supervision. At STEPS, your CDA runs your sessions while your SLP oversees and guides the clinical plan — both in regular communication about your progress. This model delivers consistent, high-quality support at a more accessible price point.
Do I need a referral from a doctor?▾
No referral needed. You can contact us directly. We'll set up a free phone consult, learn about your situation, and take it from there. Some extended health plans may require a physician referral for reimbursement — check your plan booklet if that applies to you.
How quickly can we get started?▾
We work hard to connect families with support as quickly as possible. We'll respond to your inquiry within 1 business day. If our caseload is full, we'll be upfront about that and help point you toward other options — we won't leave you waiting without a plan.
Does insurance cover speech therapy?▾
Many extended health benefit plans cover speech-language pathology services. Coverage varies by plan — check your booklet or call your provider. We also work with families accessing Ontario Autism Program (OAP) and Special Services at Home (SSAH) government funding. Ask us if you think you may qualify — we're happy to help you navigate it.
Is virtual therapy as effective as in-person?▾
Yes — research consistently supports the effectiveness of virtual speech-language therapy for most areas of practice. Virtual sessions also have a real advantage: your child is in their own home, which is often the most natural and comfortable setting for communication. We offer both options and will help you figure out which works best.
My child was told to "just wait and see." What should I do?▾
This is one of the most frustrating things families hear — and one of the most common. While every child develops at their own pace, early support is consistently shown to produce better outcomes than waiting. You know your child best. A free phone consult costs nothing and gives you clarity. We'll never pressure you, but we won't tell you to wait if we think support would help.
What happens after each session?▾
After every session you receive a brief written update on what was worked on and a personalized practice handout with activities you can continue at home between sessions. Research shows children who practice between sessions make significantly faster progress — we build that into everything we do.
Do you work with adults and seniors?▾
Yes — we work with adults and seniors navigating voice concerns, stuttering, communication changes after brain injury or stroke, cognitive communication, and more. If you are a caregiver supporting a family member, we also offer coaching and practical strategies for the home environment.

Ready to take the first step?

No commitment, no pressure. Just a conversation about how we can help your family.

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Call or text

We respond within 1 business day

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Where we serve

GTA in-home + all of Ontario virtually

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Hours

Mon–Fri 9am–6pm · Sat by appointment

Send us a message
We'll get back to you within 1 business day.

Your information is private and will never be shared.

Join the STEPS team

We're building a practice where clinicians feel supported, valued, and genuinely excited about the work they do.

Why STEPS

A different kind of practice

Growing virtual and in-home CDA-led practice serving the GTA and Ontario. We're looking for people who believe every person deserves access to communication support.

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Work from home or community

Virtual sessions from anywhere in Ontario. In-home visits across the GTA.

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Flexible scheduling

Build a caseload that works for your life. We don't overload our clinicians.

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Real clinical support

CDA and SLP communicate consistently. You're never working in isolation.

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Values-aligned culture

Neurodiversity-affirming, strengths-based, family-centred. We mean it.

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Room to grow

We're building something. If you want to grow with us, there's space for that.

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You're heard here

Small team, open communication. Your clinical voice matters.

Openings

Current positions

Now hiring

Communicative Disorders Assistant

Deliver virtual and in-home communication therapy sessions to children, adults, and seniors under ongoing SLP supervision. Maintain session notes, communicate regularly with your supervising SLP, and provide families with post-session coaching and practice handouts.

  • CDA diploma or certificate from an accredited program
  • Experience with neurodivergent populations an asset
  • Reliable transportation for in-home GTA sessions
  • Strong written communication and documentation skills
Now hiring

Speech-Language Pathologist (Contract)

Conduct assessments, develop individualized therapy plans, and provide clinical oversight to our CDA team. Collaborate closely with CDAs on client progress and write clinical reports. Contract role — flexible hours based on caseload.

  • Registered with CASLPO in good standing
  • Experience in pediatric and/or adult populations
  • Comfortable conducting virtual assessments
  • Collaborative, mentorship-oriented approach

Ready to apply?

Please send your resume and a brief summary of yourself using the button below. We read every application and will get back to you as soon as possible.

📧 Email us your resume
📞 (289) 818-4441  |  Book your free call →