The Pediatric Clinic 425-481-1933 | The Hand Clinic 425-892-2243 [email protected]

Therapy Forms

Pediatric Therapy Services

New patients, please fill out the forms in the first row below.
If you do not already have a referral from your pediatrician, please have your child’s doctor fill out the referral form.
After your intake forms are submitted and processed, you will be sent a secondary set of forms specific to the type of therapy your child will receive.
Thank you, we look forward to serving you.

Hand Therapy Services

New patients, please fill out the Hand Therapy Registration Forms below.
If you do not already have a referral from your doctor, please have your doctor fill out the referral form.
Thank you, we look forward to serving you.