Referral | Therapists 2 Go

Get the Help Your Child Needs Early

Therapists 2 Go’s Early Intervention Program gives your child the building blocks and a fighting chance to have a fun, successful & productive life.

The Family Driven Care

Therapists 2 Go’s Occupational, Physical, Speech Therapy & Special Instruction providers through embedded coaching will teach you, coach you on how to help your child reach his/her developmental milestones to prepare them for Pre-School.

If you have questions about your child’s development such as not speaking, crawling, walking, eating, playing as other children the same age then research supports finding solutions early gives your child the best chances of having a normal life. Therapists 2 GO will help walk you through the process and educate you on how to get the resources needed for you to successfully advocate for your child.

Complete the form below and a case manager will contact you within 24 hours.

Referral Source *

Child Status *

Child Name *

First

Last

Date of Birth *

Gender *

Ethnicity *

Race *

Primary Household Language *

This will be the language the evaluations are conducted in

Caregiver/Parent *

First

Last

Phone Number *

Address *

Where you live and where services will be delivered

Reason for Referral *

Why are you looking for help for your child?

Consent *

Attest *

Physician/Doctor Name *

First

Last

Physician/Doctor Phone Number *

Website

Corporate Office

6800 Jericho Turnpike Ste 120W
Syosset, NY 11791

Centerbased “Coming Soon”

East New York
Brooklyn, NY 11207

Contact Us

T2GEiP@therapists2go.com
Tel. 516.393.5966
Fax. 800.783.5909

Human Resources

HR@therapists2go.com
Tel. 516.393.5966
Fax. 800.783.5909