---
title: Start Your Journey | Starfish Therapies Intake Form
description: Complete our simple intake form to get started with personalized pediatric therapy at Starfish Therapies. Your first step toward expert care and support for your child begins here.
image: https://www.starfishtherapies.com/hubfs/Imported%20sitepage%20images/cropped-favicon_Starfish-Therapes.png
---

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- [admin@starfishtherapies.com](mailto:{{item.email}})

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    - [Plan of Care Evaluation](https://www.starfishtherapies.com/consult/plan-of-care)
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    - [New Patient Forms](https://www.starfishtherapies.com/intake-form)

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    - [FAQs](https://www.starfishtherapies.com/faq)
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- [Therapy Services](https://www.starfishtherapies.com/services)
  
  Show submenu for Therapy Services 
  
    - [Physical Therapy](https://www.starfishtherapies.com/services/physical-therapy)
    - [Occupational Therapy](https://www.starfishtherapies.com/services/occupational-therapy)
    - [Motor Smart Kids](https://www.starfishtherapies.com/services/motor-smart-kids)
    - [Gross Motor Program](https://www.starfishtherapies.com/services/gross-motor-program)
- For Parents
  
  Show submenu for For Parents 
  
    - [Free Resources](https://www.starfishtherapies.com/starfishresources)
    - [Blog & Articles](https://www.starfishtherapies.com/blog)
    - [Shop Games & Tools](https://www.starfishtherapies.com/shop)
    - [FAQs](https://www.starfishtherapies.com/faq)
    - [Free Yoga Cards](https://www.starfishtherapies.com/resource/alphabet-yoga-cards)
- [About Us](https://www.starfishtherapies.com/about/about-us)
  
  Show submenu for About Us 
  
    - [Our Team](https://www.starfishtherapies.com/our-team)
    - [Our Mission & Values](https://www.starfishtherapies.com/about/mission-values)
    - [Why Choose Us?](https://www.starfishtherapies.com/our-team#why)

- [Contact Us](https://www.starfishtherapies.com/contact-us)
- Get Started 
    - [Plan of Care Evaluation](https://www.starfishtherapies.com/consult/plan-of-care)
    - [Telehealth Consult](https://www.starfishtherapies.com/consult/telehealth)
    - [New Patient Forms](https://www.starfishtherapies.com/intake-form)

- [650-638-9142](tel:650-638-9142)
- [admin@starfishtherapies.com](mailto:{{item.email}})

[Contact](https://www.starfishtherapies.com/contact-us)

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NEW PATIENT ONBOARDING

# Intake Form

#### **New Patient Forms**

-  [Intake Form](https://www.starfishtherapies.com/intake-form)
- [Participation Questionnaire](https://www.starfishtherapies.com/intake-form-0)
- [Pediatric Medical History](https://www.starfishtherapies.com/pediatric-medical-history)
- [Authorization for Release of Information](https://www.starfishtherapies.com/authorization_for_release_of_information)

### Intake Form

### Book Your Telehealth Consult Now

Get Expert Pediatric Therapy Advice from the Comfort of Home! One-hour personalized consultation with licensed pediatric therapists. No insurance required.

[Book Now Click to Book Now](https://www.starfishtherapies.com/consult/telehealth)

[![Starfish Therapies Logo - Pediatric Therapy Making a Difference in a San Francisco](https://www.starfishtherapies.com/hs-fs/hubfs/Imported%20images/StarfishLogo@2x.png?width=200&height=41&name=StarfishLogo@2x.png "Starfish Therapies Logo - Pediatric Therapy Making a Difference in a San Francisco")](https://www.starfishtherapies.com)

Helping Kids Shine Brighter Every Day

Starfish Therapies provides pediatric physical, occupational, and speech therapy services designed to support every child's unique developmental journey. Whether in-person or through telehealth, our expert therapists work hand-in-hand with families to build skills, confidence, and independence in a fun, nurturing environment. Serving children of all ages in the San Francisco Bay Area and beyond.

[Follow us on Facebook](https://www.facebook.com/StarfishTherapies/) [Follow us on Instagram](https://www.instagram.com/starfishtherapies/) [Follow us on Twitter](https://twitter.com/MotorSmartKids) [Follow us on Facebook](https://www.linkedin.com/company/starfish-therapies) [Follow us on Facebook](https://www.youtube.com/c/StarfishTherapies)

##### Quick Links

- [Services](https://www.starfishtherapies.com/services)
- [Resources](https://www.starfishtherapies.com/starfishresources)
- [Policies](https://www.starfishtherapies.com/policies)

##### Information

[1601 Old Bayshore Highway #221 Burlingame, CA 94010](https://goo.gl/maps/iW2CLPDxUwm)

[Phone: (650) 638-9142](tel:6506389142)

Fax: (650) 638-9141

[Text: (650) 413-9921](mailto:admin@starfishtherapies.com)

[admin@starfishtherapies.com](mailto:admin@starfishtherapies.com)

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