Refer a child for therapy

Send us the evaluation order and we take it from there: we contact the family, verify the insurance and keep your office informed.

Fax 786 530 7119

Call us 786 530 7191

How a referral works

1
You send the order
By fax, with the items listed below.
2
We confirm we received it
Your office hears from us, so nothing is left wondering.
3
We evaluate the child
We contact the family, verify the insurance and schedule the evaluation.
4
You receive the plan of care
We send it to you for your review and signature.

Fax786 530 7119

Please don't send patient details by regular email. Send the order by fax.

It reaches our intake team through this site's secure connection. We call the family and confirm to your office that we received it.

Referring office

Physician or practice Physician NPI Office phone Office fax

Child and family

Child's first name Child's last name Date of birth Parent or guardian Family phone

Services ordered

Occupational Therapy Physical Therapy Speech-Language Pathology

The signed order (PDF or picture, 10 MB at most) I refer this child from the physician's office named above.

The same team answers your questions about every child you refer.

The plan of care and progress reports reach you in writing.

We speak with the family in English or Spanish.

You do not need to send anything here. Tell us about your child and we will ask the pediatrician for the order.

Request an evaluation