Get in touch with us, request a consult or access forms
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.
Scheduling Support? Contact one of our clinic coordinators below.
Forms For Parents
Intake Forms: Click the links below to complete the intake form relevant to your needs. Forms can be filled out online, saved, and completed at your convenience. Simply input your responses and they will be submitted directly to our clinical care supervisor. The two intake forms also include Practices & Policies, Notice of Privacy Practices, and Credit Card Authorization Form.
- Release of Information
- Feeding History Questionnaire (Online Form)
- Practices & Policies (Aug.1, 2021 version) – PDF
- Notice of Privacy Practices (Aug.1, 2021 version) – PDF
- Credit Card Authorization Form – PDF
- Social Distancing Precautions and Cleanliness Protocols (Covid 19 – Updated Jan. 6, 2022) – PDF
Form for Insurance Policy Holders: This form is only for those who are contracted for therapy services thru Kaiser or Meritage. This form can be filled out online, saved, and completed at your convenience. Simply input your responses and they will be submitted directly to our clinical care supervisor.
- Practices & Policies (Kaiser & Meritage only)
Little Hands has recently partnered with Undivided to help our clients navigate the endless insurance swirl. Undivided’s insurance experts can help you unlock access to the care and benefits your child deserves.
500 Tamal Plaza, Suite 505
Corte Madera, CA 94925
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: