There are two ways to get started with our services:

  • Give us a call in order to complete a short phone intake. The phone intake is to include: general information, what services you are looking for (it’s ok if you don’t know!), funding information and your main concerns. -OR-

  • Click here and complete our online  Registration form at a time that is convenient for you. We will follow up with a phone call to further clarify information and finalize the paperwork so that we can get you set up with the services you need.


  1. Physician Referral/prescription-Not required for therapy, however some insurances do require it.

  2. Insurance card

  3. Moving Parts Therapy forms-Pediatric History Form 

  4. Reports from other providers-Feel free to also submit other reports that may be helpful

    (i.e., educational, psychology, medical)

  5. Socks for all adults and children. Socks are required for health protection in the clinic.

  6. Water bottle

  7. Due to Covid 19, we require face masks for all adults and children.


**A note on physician’s prescriptions: As of 2016, the Wisconsin state code no longer requires a physician order/referral for you to get O.T. services. However, insurance companies may not have updated their policy on this, so to avoid delayed or unpaid claims it is best to have a physician's order for reimbursement by insurance. It is important that you work with your physician to describe the FUNCTIONAL, MEDICALLY NECESSARY deficits that are being experienced and get a written treatment diagnosis (A description for the deficit we are addressing) or a medical diagnosis from the MD.

As therapists, we do not provide a medical diagnosis. Our therapists will support and provide guidance regarding their observations, concerns, and make recommendations for further services or diagnostic assessments.

Please bring the prescription to your first scheduled appointment.



Tel. 920-221-3098

Fax. 920-358-7885

1200 S. Lynndale Drive

Appleton WI 54914



Monday - Friday 8:00 - 5:00

Saturday Closed

Sunday Closed