Contact Us

Get in touch with us or request a consult

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.

Forms

DIRECTIONS:  Each form is downloadable as a “zip” file.   Once you download the zip file, open (unzip) it, and then open the PDF form.  You can now input your responses, save the PDF and email the completed form to your therapist.

Download Occupational Therapy Intake Form
This form also includes Practices & Policies, Notice of Privacy Practices, and Credit Card Authorization Form).  IMPORTANT:  Save the PDF after you have input your responses & before emailing it to your therapist.

Download Speech & Language Intake Form
This form also includes Practices & Policies, Notice of Privacy Practices, and Credit Card Authorization Form).  IMPORTANT:  Save the PDF after you have input your responses & before emailing it to your therapist.

Other Forms

 

 

CLINIC LOCATION

500 Tamal Plaza, Suite 527
Corte Madera, CA 94925

Driving Directions

Working @ Little Hands

We are always looking for talented and qualified therapists and staff to join our team of pediatric professionals and supporting staff.

  • Volunteers
  • Interns
  • Recent Graduates
  • Occupational Therapists
  • Speech Therapists
  • Learning Specialists

Please send your resume to the email below for consideration.