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Achieve Pediatric Therapy

11602 Lake Underhill Road,
Suite 129, Orlando, 32825
Phone: 407-277-5400
Fax: 321-281-4942

Contact Us For More Information

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Student Requests:

Thank you for your interest in observing at Achieve Pediatric Therapy! Due to the high volume of requests to shadow, shadowing opportunities are based on a first come basis for those who fit into our therapists’ availability. We offer a placement for one day with limited potential for other days depending on requests made that month. If you would like to request a placement for observation, please send your name, phone number, discipline you want to observe (physical or occupational therapy), along with days and times of availability to Courtney Dixon via email to .

COVID policy for students shadowing: For the best interest, health and wellbeing of our clients and staff who work at Achieve, we require students who are shadowing to be vaccinated. We understand that you may choose not to be vaccinated for a variety of reasons. Unfortunately, we will not be able to place you at our clinic for observation hours.

Therapy Services Requests :

Parent/Guardian Name:
Child's Name:
Age:
Date of Birth: ex. (01-01-2000)
Insurance:
Referring Physician:
Email:
Phone:(555-555-5555)
Home Zip Code:
Desired Service Location:	Our Office Home or Community Services Telehealth
Service Desired:	Occupational Therapy Physical Therapy Applied Behavior Analysis Therapy Music Therapy
Primary Concerns:

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Testimonial Submission :

Name:
Email:
Services Received:	Occupational Therapy Physical Therapy Applied Behavior Analysis Therapy Music Therapy
Service Location:	Our Office Home or Community Services Telehealth
Your Testimonial:
Can We Post Your Testimonial on our Website?	Yes No

Intake Forms:

Intake Forms can be found Here