Make a Referral

Referrals can be made by parents, teachers, pediatricians, doctors or nurses practitioners, social workers, public health nurses, or any other professional that feels a child may be struggling.

If you are unsure if a child may benefit from Occupational Therapy service, the checklist provided can provide some guidance.

Services to adults may be available upon request. Please email/call with inquiries.

If you would like to make a referral, please click the below links to print out and complete the forms relevant to the child you are referring. Referrals can be sent by mail or email. Filling out consent forms will also be required prior to the child/client receiving services.

Referral Form (Infant/Child/Youth/Adult)

0-24 Month Developmental Milestone Checklist

Developmental and Functional Checklist for Ages 2 and Up

Sensory Preferences Checklist