Thank you for choosing TheraFUNction! If you are interested in having your child seen for Occupational or Speech Therapy services, please contact your primary care Physician for a referral. All new clients will need to fill out an intake, which has a link below. If you have Soonercare Insurance, you must complete all the forms listed below. 

New Client Intake & Questionnaire 2017-Copy.pdf

Soonercare Insurance Parent Consent.pdf

Soonercare Change of Provider Request Form.pdf

Please complete this form if you would like to share information with another professional. 

Medical Release Form.pdf