Mala Child and Family Institute OT Enrollment Form
Please complete & submit this form to receive Occupational Therapy services. Our Occupational Therapy department is currently on a waitlist. We are only to accept BCBS for OT services at this time. Our OT department operates out of our Ann Arbor location & virtually. Completing this form will automatically add you to our OT waitlist. We will contact you once an appointment is available.
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