Waitlist for Q2 OT Services with Bearfoot

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Please complete this form if you are interested in individual OT services with Bearfoot!

We run our programming for 1:1 services on a quarterly basis (according to the yearly calendar), and our next quarter is Q2 (April, May, June).

We will be reaching out to waitlist families on March 1st with a form for you to indicate interest and schedule considerations.

After you submit that form, we will contact you with proposed weekly time spots for recurring appointments. If we find something that works for you, then we go full steam ahead with intake paperwork and any evaluations that need to take place before the April start.

Parent name *

Parent email *

Parent phone number *

Interested in *

1:1 sessions

Evaluation

Required

Child's name *

Child's age *

Primary concerns *

How did you hear about Bearfoot? *

Location preference *

Glen Park

Presidio

China Camp

Required

Do you have an OT evaluation already that is less than 12 months old? *

Yes, we have an OT evaluation that is less than 12 months old

No, we need an OT evaluation

Any other info?

Submit

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