New Referral Questionnaire

Thank you for your interest in services at Children’s Therapy Place. Please complete the referral form below, and a member of our team will reach out as soon as possible to discuss your family’s needs, answer questions, and review next steps.

For more immediate assistance or help completing the form, please call us at 208-323-8888.

(Submitting this form does not confirm an appointment or guarantee availability. If you are experiencing a medical or safety emergency, please call 911 or seek immediate assistance from an appropriate emergency provider.)