Apply for Services at Quest

Welcome to our application form - we look forward to talking with you about your child and the services that we provide. Please complete the application for services below.  Once the application is complete and submitted, Quest will contact you for further information to begin the process. 

On the application, please note the earliest time of the day that you are available for therapy appointments.  Quest can accommodate children up to 100 lbs. If your child is unable to sit upright without support, the weight limit is 60 lbs. There is often a waiting list for both physical and occupational therapy; therefore, you may want to send in the form months before your child is ready to get started.