QuestKids Schedule Requests
Please indicate the ideal therapy schedule you would like at QuestKids, as well as alternative hours that would work for your family. Don't forget to include any vacation days or other days off you may need.
Child's Name: Parent's Name: Email: Total number of therapist hours PER WEEK: Total number of intern hours PER WEEK:
First Choice
Second Choice
What days will your child be absent for any additional holidays, vacation, etc.?
Social Skills Group Options: Please enter 1 next to 1st choice and 2 next to 2nd choice
*We will do our best to accommodate group requests. Groups are based on best peer/skill pairing for each child. Groups are 3:1 ratio and $25 per hour.