To provide therapy services for children with physical, sensory, cognitive, social and other dysfunctions in a setting beyond the traditional clinic or school setting.

Karen Siran-Loughery, OTR/L
Owner
Occupational Therapist
NARHA Registered Therapist & Instructor

Berna Huete, OTR/L
Occupational Therapist
~Habla Espanol

Teri Lawrence , OT
Occupational Therapist

To enroll in home based therapy services the following documents must be duly reviewed, completed, signed and dated as indicated. Please click on the links below to open a printable version of each form. (or right click and choose "save as" to save to your computer)

• Patient Registration Form


• Participant's Application and Health History
• Consent For Treatment and Release of Liability
• Attendance Agreement/Cancellation Policy
• Authorization for Emergency Medical Treatment
• Notice of Privacy Statement
• Physician Orders
• Physician Release and Prescription (2 pages)
• Social Questionnaire