Request a Free Online Screening:

This is the first step to helping your child meet his or her developmental goals! We are excited to learn more about your child and show you how we can help.

The purpose of a screening is to identify any motor or sensory concerns that may need further evaluation.

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Parent / Guardian Name

First Name

Last Name

Parent / Guaridan Email Address

Parent / Guardian Phone

(###)

###

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Reason for Screening / Anything else?

We can't wait to learn all about your child during the screening process! If there is anything else you want to share BEFORE the screening process, please do so here!

Contact Information:

Service Areas: