How Do I Get Started?

If you are interested in scheduling an evaluation for your child, call our office: (252) 341-9944

Our office staff will take all of your health insurance information and complete any authorizations or referrals that you may need. Once you have scheduled an appointment, please read over and fill out the following forms. You may mail or fax the completed forms prior to your child’s first visit.

Client Information Form
Consent and Authorization to Treat
Notice of Privacy Practices- 2018
Client Rights

Physician Referrals

For physicians wanting to make a referral for Occupational, Speech or Physical Therapy services, please fill out the Insurance/Referral Form to the best of your ability and fax to (252) 439-0957.

Referral Form

Trillium Referrals

For Care Coordinators wanting to make a referral for Specialized Consultative Services, please fill out the following forms and email it here.

Trillium Coordinator Checklist
Referral Form
Consent and Authorization to Treat
Notice of Privacy Practice 2018
Client Rights