I agree with Hands On Play Pediatric Therapy's Privacy Policy. We collect and use data to establish care. Your information is kept with the utmost privacy and discretion. (Required)

By checking this box, I give permission for Hands On Play Pediatric Therapy to conduct an occupational therapy screening for the child listed above. I understand I may be contacted by Hands On Play Pediatric Therapy via call, text, or email. I can reply “STOP” at any time to opt out.(Required)