Welcome to Pediatric Potentials!  

We look forward to meeting you and your child.  If possible, please complete the following before your first visit:

  1. Obtain a doctor’s prescription stating ‘OT evaluation and possible treatment.’ This can be faxed to 582-4148 or bring it with you to your child’s first appointment.
  2. Please collect any relevant medical, school, or therapy reports, copy and bring with you to your child’s first appointment.
  3. Please complete and submit online the following forms prior to your first appointment:

If you prefer to print and bring the forms with you please use these links for our forms.:

New Patient Information Sheet to Print

Release of Medical Records

COVID-19 Release Form

and, if appropriate:

For your appointments please make sure your child is comfortably dressed and is wearing sneakers.

Appointment Details:

  • Each therapy session is 45 minutes or 1 hour
  • Therapy sessions are catered to the client’s goals.
  • Each treatment is creative and fun and changes depending on the needs of the client.

Insurance, Billing and Reimbursement

Pediatric Potentials is a preferred provider with all major insurances. We also bill Medicaid and CHIP. We accept all credit cards for any private payment or co-pay.

Forms for Physicians or other Referral Agencies: