2026 Intensive Sign Up Please enable JavaScript in your browser to complete this form.Please read the following information carefullyFilling out this form does not guarantee that you will get an intensive spot in 2026 but we will do everything we can to see as many children as possible.Priority will be given to those wishing to book all 3 services (OT, PT, SLP).Pricing for our 2026 intensives are as follows PT 5 total hours $1000, PT 10 total hours $2000, OT 5 total hours $800, OT 10 total hours $1600.Feeding and speech sessions are currently offered 2x a week – the price for 2 one hour sessions is $350.Deposits are due within a week of when Kelsey indicates that you have secured a spot. Kelsey will be sending confirmation emails by 3/8/26 at the latest.Deposits are non refundable if you must cancel within 30 days of your intensive start date. Deposits are fully refundable if a therapist must cancel the intensive for any reason.Thank you for your interest in Move Pediatric Therapy’s intensive program! You must click the box below to be eligible to sign up for a 2026 intensive. *I have read and understand all of the information aboveChild's Name *FirstLastChild's Date of Birth *Child's Primary Diagnosis *Parent/Guardian Name(s) *Parent/Guardian Email *Parent/Guardian Phone Number *Interested In (click all that apply) *1 week PT intensive1 week OT intensive2 week PT intensive2 week OT intensive3 week PT intensive3 week OT intensivefeeding or speech (SLP) therapy sessionsDuration of Therapy (click all that apply) *1 hour of PT per day1 hour of OT per day2 hours of PT per day2 hours of OT per day1 hour of feeding/speech per day (2 day maximum)2 hours of feeding/speech per day (2 day maximum) child? specific preference If you want 2-3 hours of total therapy per day (OT or PT or SLP) please pick your preference (preferences are not guaranteed)I prefer 2-3 hours of therapy back to backPlease split up the sessions so that my child has a break in-betweenI don’t have a preferencePreferred Week(s) of the Intensive (may list multiple options, please list your first preference at the top) If you do not have a specific week(s) in mind please indicate your preferred month or a range of months for an intensive (example I would like to be scheduled sometime between Feb and April) *Preferred Time of Day (timing not guaranteed)ampmI don’t have a preferenceIs there anything else you'd like us to know about your child?I understand the following statements (all boxes must be checked to be considered for a 2026 intensive spot) *submitting this form does not guarantee that I will receive an intensive spot for 2026a deposit ($500-1000 based on length of intensive) is due within 1 week of receiving a confirmation email from Move Pediatric Therapyif my preferred week is already taken and there is room in the schedule, I will be offered an intensive spot on a different weekpriority will be given to those wanting to schedule PT and OT and SLP intensives for ease of schedulingSubmit Share this: Click to share on Facebook (Opens in new window) Facebook Click to share on X (Opens in new window) X Like this:Like Loading...
