Referral Form

Physicians :

If you have a patient that would benefit from therapy, we would love to help them reach their goals. If you need a referral form you can use the Attached Copy (Please print, complete and fax it to us) or you can fax your office referral form. We will contact the patient and set up their first appointment. We look forward to working with you and helping your patient! Please fax your referrals to +1 (216) 295-4804.

Concerned about your child's development? Immediate openings available for screenings!