Rainier Swallow Care Private-pay dysphagia • Seattle area
Evidence-guided + comfort-first • Hospice, post-stroke & Parkinson’s dysphagia

Clinical precision for high-stakes meals.

Private-pay dysphagia support built for real life: changing needs, limited energy, and meals that carry risk. You receive a clear assessment, caregiver coaching, and a written plan that works immediately.

Schedule assessment Take the quick quiz
✔ Swallowing assessments are performed by a Certified Speech-Language Pathologist (SLP) trained in medical dysphagia evaluation and treatment.
In-home + telehealth • Seattle area • Written plans for families & facilities • Superbills available upon request

Clarity

Direct guidance with a written plan—so everyone knows what to do at the next meal.

Comfort

Hospice and serious illness support that honors goals of care and quality of life.

Consistency

Quick-reference protocols that align families, staff, and care teams.

How it works

A simple 3-step process designed to reduce anxiety and make next steps clear.

1
Concern shows up at the table Coughing, wet voice, prolonged meals, fatigue, or stress during eating/drinking.
2
Schedule an assessment Book online and receive clear confirmation and what to expect.
3
In-home evaluation + written plan Your Certified SLP evaluates swallowing and provides coaching + a practical protocol.

Clinical domains we evaluate

A structured, evidence-guided approach—focused on safety, efficiency, and goals of care.

Airway protection Timing, cough response, voice changes
Bolus efficiency Residue, clearance, fatigue patterns
Hydration & nutrition Intake barriers, texture tolerance
Comfort & goals Comfort feeding and shared decisions

Services

Private-pay options designed for families, caregivers, and facilities.

Hospice Swallowing Comfort Consult

90 min + written plan

Comfort-first guidance for hospice or serious illness—focused on reducing distress and making decisions clearer.

  • Mealtime observation when possible
  • Comfort Feeding Plan + caregiver coaching
  • Clear risk/benefit discussion in plain language

Post-Stroke Dysphagia Support

Eval + follow-ups

Practical strategies at home, plus a progression plan so you’re not guessing between appointments.

  • Clinical swallow assessment + strategy training
  • Home routine + progression checkpoints
  • Coordination-friendly summary note (with permission)

Parkinson’s Swallowing & Aspiration Support

Eval + coaching

Support for Parkinson’s-related swallowing changes—focused on airway protection, fatigue-aware strategies, and aspiration-risk reduction aligned with goals of care.

  • Clinical assessment + safety strategy coaching
  • Meal pacing, posture, and texture guidance (as appropriate)
  • Caregiver training + written quick-reference plan

Caregiver & Facility Training

Sessions + retainers

Education and consulting to reduce avoidable crises and improve consistency across teams.

  • Training sessions + refreshers
  • Case conferences + coaching
  • Protocols that survive staff turnover

Quick quiz: should you consider dysphagia support?

~60 seconds. Helps you decide whether a swallowing consult could be helpful. Not a diagnosis.

Urgent: If there’s severe choking, breathing difficulty, sudden inability to swallow, or new stroke-like symptoms, call 911.
Workflow
Simple, repeatable, clinically grounded.
1
Signal → what matters most
Goals of care, symptoms, and what meals look like right now.
INTAKE
2
Observe → where the problem shows up
Positioning, pacing, fatigue, meds/dry mouth, routines, environment.
3
Deploy → a plan everyone can follow
Written recommendations + quick-reference protocol for family or facility teams.
PLAN
Schedule assessment

Payment & scheduling

Clear, private-pay policies so you know what to expect before we meet.

When payment is collected

To reserve dedicated clinical time, we collect a deposit at booking for evaluations. The remaining balance is due at the time of service. Follow-ups are paid at the time of service. Packages (hospice / Parkinson’s programs) may be paid upfront or split into a deposit + remaining balance—depending on what works best for your family.

Cancellation policy

Please provide 24 hours’ notice to reschedule. Cancellations with less than 24 hours’ notice may be subject to a cancellation fee.

Insurance & superbills

Rainier Swallow Care is private-pay. Superbills are available upon request for potential out-of-network reimbursement (varies by plan and is not guaranteed).

>Pay & Book Now Questions? Contact us
Why this matters: Swallowing concerns are often time-sensitive. Clear scheduling and payment policies help ensure we can prepare and deliver an organized written plan for the next meal.

Book a clinical swallowing assessment

We’ll build a plan that supports safety, dignity, and quality of life—designed for real-life meals.

Book now Call/Text
Phone: (206) 555-0123
Email: hello@rainierswallowcare.com
Service area: Seattle • Shoreline • Edmonds • Bellevue
If this is a medical emergency (severe breathing difficulty or choking that won’t resolve), call 911.

FAQ

Tap a question to expand. Clear answers for families, caregivers, facilities, and referring teams.

How do I know if this is urgent?
Call 911 if there is severe choking, breathing difficulty, sudden inability to swallow saliva, or stroke-like symptoms. Otherwise, coughing during meals, wet voice, prolonged meals, or weight loss are signs a consult may help.
What should I have ready for an in-home assessment?
Helpful items include typical foods and drinks, a medication list, dentures or feeding equipment, and a caregiver who usually assists during meals when possible.
Do you take insurance?
Rainier Swallow Care is private-pay. Superbills are available upon request for possible out-of-network reimbursement depending on your insurance plan.
Do you provide VFSS/MBSS or FEES?
Instrumental studies are completed in medical facilities. If an instrumental study is appropriate, I can help determine the best questions it should answer and coordinate referral options with your medical team.
How does swallowing support help hospice patients?
Hospice consultations focus on comfort feeding, reducing distress during meals, caregiver coaching, and helping families make informed feeding decisions aligned with goals of care.
Does hospice mean food or liquids must be stopped?
Not necessarily. Many patients continue eating and drinking for comfort and enjoyment. Swallow consultations help balance safety, comfort, and patient preference.
How can Parkinson’s disease affect swallowing?
Parkinson’s can affect airway protection, muscle coordination, sensation, and fatigue. Swallow support helps maintain safety, medication swallowing ability, and quality of life as symptoms change.
When should someone with Parkinson’s consider swallowing support?
Support is helpful with coughing during meals, prolonged eating, weight loss, pneumonia, pill swallowing difficulty, or noticeable changes in voice/wetness after swallowing.
Can caregivers receive training?
Yes. Caregiver coaching is a major part of services and includes positioning, pacing, fatigue support, recognizing warning signs, and a written protocol for consistency.
Do physicians refer patients to Rainier Swallow Care?
Yes. With patient permission, I collaborate with neurologists, hospice teams, home health, and primary care providers, and can provide summary reports and coordination guidance.
How does Rainier Swallow Care support referring providers?
Support includes functional recommendations aligned with medical goals, caregiver coaching, written protocols, and assistance clarifying when an instrumental study may be appropriate.
Why is swallowing care private pay?
Private-pay care allows extended in-home evaluations, real-meal observation, caregiver training, detailed written plans, and flexible scheduling not typically supported by insurance models.
What value does private-pay swallowing consultation provide?
Many families pursue consultation to reduce aspiration risk, improve hydration and nutrition, reduce caregiver stress, clarify decisions, and prevent avoidable hospitalizations.
What if feeding my loved one feels stressful or scary?
This is common. Swallow consultation provides clear safety guidance, step-by-step feeding strategies, and caregiver coaching to reduce anxiety and build confidence.
What areas do you serve?
In-home services are available throughout the Seattle area (including Seattle, Shoreline, Edmonds, and Bellevue). Telehealth is available when clinically appropriate.
Can MBSS/VFSS footage be used on the website?
Only if footage is properly licensed, fully de-identified, and approved for commercial use. Otherwise, educational clips with explicit commercial-use permission are recommended.
Book now Schedule