Clinic and physician referrals – If you have a patient that has a need for OT services, we provide therapy for children aged 0-21, with therapist that treat all conditions. Please click here to see if your patient would benefit from OT services.
Physician Referral Service Houston TX
Your child may need therapy if they are displaying the following symptoms:
Infants and Toddlers
Fine Motor Skills
*Not meeting developmental milestones
*Not reaching for or playing with toys
*Difficulty manipulating small objects
Sensory/Motor
*Appears fearful of movement or needs unusual amount of movement to be calm
*Difficulty with transitions
*Overstimulated by busy environments
*Over sensitive to loud sounds
*Doesn't play or interact with other children
*More active then other children of the same age
*Becomes upset when dirty or during messy play
*Avoids playground equipment
*Does not appear to get dizzy or appears to get dizzy to easily
*Picky eater or does not transition to new textures
*Not meeting developmental milestones
*Not reaching for or playing with toys
*Difficulty manipulating small objects
Sensory/Motor
*Appears fearful of movement or needs unusual amount of movement to be calm
*Difficulty with transitions
*Overstimulated by busy environments
*Over sensitive to loud sounds
*Doesn't play or interact with other children
*More active then other children of the same age
*Becomes upset when dirty or during messy play
*Avoids playground equipment
*Does not appear to get dizzy or appears to get dizzy to easily
*Picky eater or does not transition to new textures
- No physiological flexion
- Absent or weak reflexes.
- Limbs are very stiff when moved – Hypertonia (high muscle tones)
- Very little limb movement, no/little spontaneous kicking – Hypotonia (low muscle tone)
- When lying back, inability to lift arms from support surface
- Doesn’t pull to sit at 4.5 months
- Head still bobs when carried at 4.5 months
- Doesn’t roll over by 7 months
- Only rolls in one direction
- In prone (on the tummy) is not able to pivot around to reach toys, not able to move body forward or backwards
- Doesn’t sit independently by 9 months
- When crawling , only puts weight through one leg
- Has no desire to pull to stand at 12 months
- Not walking by 18 months
- Not climbing up and down stairs by 24 months
- Not jumping with both feet together
- Abnormal Gait pattern
- Decreased flexibility or restrictions in range of motion
- Core or lower extremity weakness
- Frequent loss of balance
- Ligament laxity
- Asymmetrical movement patterns
- Poor posture
- Lack of coordination
- Pain
Preschool
Fine Motor Skills
*Difficulty manipulating small toys (stringing beads, stacking blocks)
*Difficulty with or dislikes puzzles
*Continues to scribble without details
*Continues to hold a crayon in a fisted or gross grasp
*Coloring and / or eating using the had on the side where the utensil is placed
*Difficulty cutting with scissors after age 4
Sensory/Motor
*Avoids getting messy
*Hesitant to climb on playground equipment
*Continues to mouth toys or objects
*Over Sensitive to sounds (covers ears)
*Doesn't play or interact with other children as well as other peers
*Becomes overstimulated in busy environments
*Has a hard time transitioning between activities
*Difficulty sitting still
*Difficulty participating in age appropriate group activities
*Does not get dizzy or appears to get dizzy too easily
*Picky eater or does not eat certain textures of food
Self Care
*Difficulty using a spoor or cuppy
*Difficulty dressing self
*Difficulty feeding self: like using a spoon, drinking from a cup.
*Difficulty dressing self: like buttons, fasters, tying shoes.
*Difficulty manipulating small toys (stringing beads, stacking blocks)
*Difficulty with or dislikes puzzles
*Continues to scribble without details
*Continues to hold a crayon in a fisted or gross grasp
*Coloring and / or eating using the had on the side where the utensil is placed
*Difficulty cutting with scissors after age 4
Sensory/Motor
*Avoids getting messy
*Hesitant to climb on playground equipment
*Continues to mouth toys or objects
*Over Sensitive to sounds (covers ears)
*Doesn't play or interact with other children as well as other peers
*Becomes overstimulated in busy environments
*Has a hard time transitioning between activities
*Difficulty sitting still
*Difficulty participating in age appropriate group activities
*Does not get dizzy or appears to get dizzy too easily
*Picky eater or does not eat certain textures of food
Self Care
*Difficulty using a spoor or cuppy
*Difficulty dressing self
*Difficulty feeding self: like using a spoon, drinking from a cup.
*Difficulty dressing self: like buttons, fasters, tying shoes.
- Unable to stand on 1 foot by 3 years
- Unable to climb on and off equipment at the playground
- Is afraid of movement in space, as when on a swing
- Not hopping on one foot by 4 years
- No attempt to jump down from the bottom step
- Unable to walk in a straight line by 5 years
- Unable to ride a tricycle by 4 years
- Abnormal Gait pattern
- Hypertonia (high muscle tone)
- Hypotonia (low muscle tone)
- Decreased flexibility or restrictions in range of motion
- Core or lower extremity weakness
- Frequent loss of balance
- Ligament laxity
- Asymmetrical movement patterns
- Poor posture
- Lack of coordination
- Pain
Elementary School
Fine Motor Skills
*Difficulty holding pencil correctly
*Hand tires easily
*Hand hurts when writing
*Difficulty copying letters and words
*Lacks well established hand dominance
*Difficulty drawing pictures
*Difficulty coloring or cutting
*Difficulty writing
Sensory/Motor
*Tendency to confuse left and right
*Poor desk posture
*Becomes easily frustrated
*Difficulty sitting still
*Difficulty keeping hands to self
*Difficulty transitioning between activities
*Bumping into or crashing into items or people
*Avoids crowded situations or environments
*Fearful of movement or excessive craving of movement
*Makes excessive noise or is over sensitive to sound
*Easily distracted
*Disorganized
*Difficulty coordinating motor activities (difficulty with jumping jacks or riding a bike)
*Does not get dizzy or appears to get dizzy too easily
*Picky eater or does not eat certain textures of food
Visual Skills
*Difficulty typing shoes
*Difficulty dressing self, including fasteners
*Difficulty with grooming
*Difficulty using a spoon and fork
Self Care
*Difficulty typing shoes
*Difficulty dressing self, including fasteners
*Difficulty with grooming
*Difficulty using a spoon and fork
*Difficulty holding pencil correctly
*Hand tires easily
*Hand hurts when writing
*Difficulty copying letters and words
*Lacks well established hand dominance
*Difficulty drawing pictures
*Difficulty coloring or cutting
*Difficulty writing
Sensory/Motor
*Tendency to confuse left and right
*Poor desk posture
*Becomes easily frustrated
*Difficulty sitting still
*Difficulty keeping hands to self
*Difficulty transitioning between activities
*Bumping into or crashing into items or people
*Avoids crowded situations or environments
*Fearful of movement or excessive craving of movement
*Makes excessive noise or is over sensitive to sound
*Easily distracted
*Disorganized
*Difficulty coordinating motor activities (difficulty with jumping jacks or riding a bike)
*Does not get dizzy or appears to get dizzy too easily
*Picky eater or does not eat certain textures of food
Visual Skills
*Difficulty typing shoes
*Difficulty dressing self, including fasteners
*Difficulty with grooming
*Difficulty using a spoon and fork
Self Care
*Difficulty typing shoes
*Difficulty dressing self, including fasteners
*Difficulty with grooming
*Difficulty using a spoon and fork
Middle and High School
Fine Motor Skills
*Difficulty with any of the above fine motor skills
*Difficulty learning to type
*Difficulty opening packets and containers
*Writing takes much longer than classmates
*Handwriting not legible
Sensory/Motor
*Difficulty with any of the above sensory or motor skills
*Very disorganized: frequently misplaces school work
*Excessive need for movement
*Withdraws from touch
*Fatigues easy
Visual Skills
*Difficulty with any of the above visual skills
*Difficulty finding own errors and self correcting work
*Difficulty with any of the above fine motor skills
*Difficulty learning to type
*Difficulty opening packets and containers
*Writing takes much longer than classmates
*Handwriting not legible
Sensory/Motor
*Difficulty with any of the above sensory or motor skills
*Very disorganized: frequently misplaces school work
*Excessive need for movement
*Withdraws from touch
*Fatigues easy
Visual Skills
*Difficulty with any of the above visual skills
*Difficulty finding own errors and self correcting work
- Abnormal Gait pattern
- Hypertonia (high muscle tone)
- Hypotonia (low muscle tone)
- Decreased flexibility or restrictions in range of motion
- Core or lower extremity weakness
- Frequent loss of balance
- Ligament laxity
- Asymmetrical movement patterns
- Poor posture
- Lack of coordination
- Pain
- Sports Injuries
For referrals from clinic and doctors offices please complete the form on this page.
Referral Request
Accepting Blue Cross Blue Shield, United Healthcare, Texas Children and Medicaid. We also offer self-pay options.
