Thank you for your interest in Lighthouse Therapy Center.

To get started, please complete our intake form and upload the requested documents directly through the form, including:

• Physician referral
• Parent/Guardian photo ID
• Insurance card (front & back)
• Most recent evaluation/Plan of Care and discharge summary, if your child received therapy elsewhere

Complete Intake Form:
https://form.jotform.com/262638998603170

Once we receive the completed intake form and required documents, our office will review everything and contact you regarding the next steps for scheduling an evaluation.

Thank you!
Lighthouse Therapy Center