Occupational Therapist

Request an evaluation with Lindsay

Tell us a little about your family and a few times that work — we'll confirm within one business day.

Your information

Your name*

Phone*

We'll text you at this number about your request. Message and data rates may apply. Reply STOP to opt out, HELP for help.

Email*

I agree to the terms and privacy policy.

What brings you here?*

What does your child need help with? Pick at least one.

Please describe in more detail*

Where would you like therapy?*

Select any that apply — we'll ask for each address.

Where you live*

We ask every family for this, including video and office visits, so we can match your child with a provider licensed to serve their home state. It isn’t used as a session location.

Home address

Street address*

City*

State*

ZIP*

When are you generally free?*

Tap the time windows that generally work for you. Pick at least one — this isn't your appointment time; we'll follow up to lock in the exact day and time.

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Morning8–12

Afternoon12–3

After School3–5

Evening5–8

Payment*

How would you like to handle payment?

Your child

We use this to verify benefits under your child's name and start their file.

Child's first name*

Needed to check your insurance under their name.

Child's last name*

Date of birth*

We never share your information.