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 your therapist.

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 seeking skilled clinicians and administrators to join our team.

• Clinic & School based Occupational Therapists with a background & experience in Pediatrics
• Clinic & School based Speech and Language Therapists with a background & experience in Pediatrics
• Administrator/office manager with a background/knowledge of medical billing, QuickBooks and management experience in small business health care (preferably 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