Consultations

If you are interested in OT based recommendations, resources, toys or information for your child’s specific needs, fill out the intake form below with detailed information or questions. If a consultation is right for you, we will contact you with more information. In some cases, the child might be best suited for pediatric occupational therapy or other therapies, therefore our online consultations might NOT be appropriate for your child.

OUR PROCESS: Fill out intake form, we contact you and confirm if a consultation is right for you (no charge), invoice is sent, once payment is received we will email you a customized guide in 5-7 business days.

Digital consultations are $200 and include a customized PDF guide with tailored activities, resources, toy recommendations and links for your family AND access to certain videos and products in our shop.

If you have questions, please reach out to us at connectingthedots.ot@gmail.com.

** Consultations are NOT occupational therapy sessions and are not to be billed or covered by insurance.**

Parent Name

First Name

Last Name

Child Name

First Name

Last Name

Child's Age

(###)

###

####

Does your child have siblings?

Yes

Describe your child's daycare setting/hours.

Has your child received specialized services either privately or in the school system?

Yes

Has your child experienced any major medical events or hospitalizations? If yes, please list medical events.

How does your child sleep? Do they fall asleep easily? Do they stay asleep? What is their bedtime routine like?

How does your child eat? Do they enjoy a variety of foods? Textures? Flavors?

How does your child get along with peers?

How does your child handle adversity? For example, change in a routine, losing a game, or general disappointments?

At what age did your child meet common milestones?

Tummy time, rolling over, sitting up, crawling, pulling to stand/cruising, walking.

What are your primary concerns?

What have you tried so far to address these concerns?

Do others in their life express the same concerns (teachers, doctors, other caregivers)?

Yes

Unsure

Based on your child's needs and your concerns, we will likely request more information. Videos and photos may be helpful for us to get a clear picture of your child's needs and help us provide the most accurate suggestions. If there is any additional information you would like to provide, type and upload below.

ex: videos of play or emotional regulation or photos of your child's room set up or specific toys.