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Therapy Clinic Intake
Therapy Clinic Intake
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2020-12-03T19:53:34+00:00
Therapy Clinic Intake
Our clinic provides a child-centric, multidisciplinary approach to pediatric care. We offer more than six different types of therapy and have specialized programs and equipment to help your child reach their full potential. Our team of experts will assess your needs and develop an individualized care plan that addresses all areas of development. Fill out the form below and our Clinic Administrator will contact you within 24 hours to determine the best approach for your child.
Parent's Name
*
First
Last
Child's Name
*
First
Last
Child's Date of Birth
*
MM
DD
YYYY
Best phone number to reach you at:
*
Email
*
What are your concerns?
*
Which programs are you interested in?
*
Infant & Toddler Early Intervention Program
Physiotherapy (infant development, balance, coordination skills, strength)
Occupational Therapy (infant development, feeding, fine motor/handwriting, sensory processing, gross motor)
Speech and Language Therapy (AAC, delayed speech, articulation, language skills)
Music Therapy
Bike Therapy
ABA - 1:1 Therapy
ABA - Social Skills Group
ABA - School Consultation
ABA - Parent Coaching
Therapy Intensives
How did you hear about us?
*
Friend/Family
Doctor
Instagram
Facebook
LinkedIn
Online Ad
Print Ad
Other
CAPTCHA
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First Choice
Second Choice
Third Choice
