EmailMeForm
Parent Inquiry
At New York Therapy Placement Services, Inc (NYTPS) our primary mission has always been caring for children. If you have any concerns about your child’s development, we are a full service resource -- we are here to help and our dedicated team will guide you.
* - Required Fields
Parent
*
First
Last
E-mail Address:
*
Cell Number
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School District
Child's Full Name
Child's Age
Are you interested in services through private insurance?
Yes
No
Description of Parental Concerns
Please check the service(s) you would like more information on
Occupational Therapy (Fine Motor Skills)
Physical Therapy (Gross Motor Skills)
Speech/Feeding/Stuttering/PROMPT
ABA (Applied Behavioral Analysis)
Other (specify below)
Please check all that apply
Thank you! Someone from our team will promptly contact you and map out the next steps.
