Request Therapy Services | Havilah Therapy Services
Getting Started

We're here to make the process simple.

Havilah Therapy Services provides compassionate, individualized pediatric therapy for children and young adults ages 0–21. Whether you are a parent, caregiver, physician or referral source, we can help you understand what is needed to begin services.

Referral Process

What happens after you request therapy?

Our referral process is designed to help families move from their initial request to evaluation and treatment as smoothly as possible.

01

Contact Havilah or submit a referral

Contact our team or submit a referral to begin the process of requesting therapy services for your child.

02

Insurance & service availability are verified

Insurance benefits and service availability are reviewed to help determine coverage and whether the requested services are currently available.

03

Required physician referral or order is obtained

When required, the appropriate physician referral or order is obtained before moving forward with services.

04

Patient intake forms are completed

Parents or caregivers complete the required patient intake paperwork and provide the information needed to support the child's care.

05

An evaluation is scheduled

Once the necessary requirements are in place, an evaluation is scheduled with the appropriate Havilah clinician.

06

Treatment begins after authorization, when required

Treatment begins once the evaluation and required authorization steps have been completed, when authorization is required.

Request Therapy Services

Start your request

Complete the form below and the Havilah Therapy Services team will review your request and help you with the next steps.

Please do not include medical or sensitive information in the comments field. This form is intended to begin the referral process.

Have questions before submitting a request?

Our team is here to help families understand the referral, insurance and evaluation process.

Contact Havilah