Pediatric Therapy Referrals


We are happy that you and your family have chosen our family to serve your therapy needs. All new clients are asked to complete a Client Information Packet upon their first visit. 

Parents and caregivers, for your convenience and to help expedite the need to gather valuable information, we have made our new client information packet available prior to your initial visit. Please download the new client information packet and bring this with you 15 minutes prior to your visit. 

In order for your child to receive an initial evaluation or ongoing therapy services from the Therapy and Learning Center, we will need (2) items from your doctor:
1. Referral form
2. Orders

Your doctor may already have our referral form.  If they do not, we would be glad to provide that to them. Click here to Access the referral form. Your doctor can fax that information to us at 731-660-6145.  Once we receive this information we will contact your family to schedule the appropriate appointments.

We understand that simply getting to this part of the process can be challenging in many respects. If you have any further questions please feel free to contact us at 731-664-3670.

West Tennessee Healthcare (WTH) does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, national origin, age, religion, disability, Limited English Proficiency or sex, including discrimination based on gender identity, sexual orientation, sex stereotyping or pregnancy in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by WTH directly or through a contractor or any other entity with which WTH arranges to carry out its programs and activities.

For further information about this policy, contact Amy Garner (731) 541-9914.