Intensive Schedule | Pediatric Intensive Therapy

INTENSIVE SCHEDULE AND REGISTRATION

2025 INTENSIVE SCHEDULE

Please fill in the form below

Parent/Guardian Name

First Name

Last Name

Phone

Country

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Preferred Session Choice

Alternative Session Choice if Preferred Unavailable

If you would like to enroll in more than one intensive, please note how many and which sessions you are interested in enrolling in.

Patient Diagnosis

Patient Age

Patient Height

Patient Weight

Brief description of current gross motor function

We would like to include the following therapy services in our intensive:

DMI

Physical Therapy

Occupational Therapy

CIMT (Constraint Induced Movement Therapy)

Any additional information you would like to share (optional):