Contact For Services GO HERE to complete the Welcome Packet now! If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Ready to begin therapy? Have unanswered questions? You can drop in, give us a call, or complete the form below. Filling it out completely will help us decide how to best meet your needs. (Please note, our Welcome Packet must be completed and returned before services can be scheduled.) Name of Parent or Guardian * Name of Child * Email * Phone * What is your area of interest(s)? * Occupational TherapyPhysical TherapySpeech TherapyOther How did you hear about us? * Doctor Referral Health Insurance Internet Search Facebook NPR/Louisville Public Media The Record Newspaper Louisville Magazine Community Event Family/Friend Website Other Pediatrician's Name Other Source Insurance Anthem Cigna Humana United KY-Medicaid IN-Medicaid Private Pay Other Brief description of questions/concerns When and how can we best reach you? **Please note, the TheraPLACE Welcome Packet must be completed and returned before services can be scheduled.**
