Request a Consult

Call or email us to discuss your child’s needs, our services and how to schedule an initial consultation for occupational therapy, speech or academic support and services.

• (415) 531-3027
• gp@littlehandsot.com

Forms For Parents

DIRECTIONS:  Each form is downloadable as a “zip” file.   Once you download the zip file, open (unzip) it, and then open the PDF form.  Simply input your responses, save the PDF and email the completed form to gp@littlehandsot.com.

IMPORTANT:  Save the PDF after you have input your responses & before emailing it to your therapist.

Download Occupational Therapy Intake Form
This form also includes Practices & Policies, Notice of Privacy Practices, and Credit Card Authorization Form).

Download Speech & Language Intake Form
This form also includes Practices & Policies, Notice of Privacy Practices, and Credit Card Authorization Form).  

Other Forms

• Practices & Policies
• Notice of Privacy Practices
• Credit Card Authorization Form

Form for Insurance Policy Holders (this form is only for those who are contracted for therapy services thru Kaiser or Meritage)

• Practices & Policies (Kaiser & Meritage only)

 

 

Working @ Little Hands

Little Hands is always seeking part-time and full-time skilled clinicians to join our team.

• Clinic & School based Occupational Therapists with background & experience in Pediatrics
• Clinic & School based Speech and Language Pathologists with background & experience in Pediatrics

If you want to be a part of this creative group, please email your resume and cover letter to Gabrielle Perelmuter:

• gp@littlehandsot.com