Discuss Your Child’s Treatment Options

New Client Information

Services are provided at our main clinic, the OAS Center, located in Kensington, San Diego. To inquire about services at our Irvine location, please make a note in the box below

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Child's Name*

First Last

Child's Birthday*

MM slash DD slash YYYY

Services Required*

Speech

Occupational Therapy

Physical Therapy

Other

Other Services

Parent's Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Referred By?*

Google/Internet

Yelp

Parent/Friend

Professional/Medical

Education/School

Other

Referred By

School

Date of walk-in/initial call:

MM slash DD slash YYYY

Insurance

In-Network with Anthem Blue Cross PPO Blue Cross/ Blue Shield of California PPO UnitedHealthcare PPO Tricare Select, Standard, and Prime Easterseals

Diagnosis?

Concerns

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The Oas Center & Specialized Therapy Services

4204 Adams Ave
A,

San Diego, California 92116

Phone: (619) 431-5049
Email: info@theoascenter.com

Specialized Therapy Services

30 Corporate Park
Suite 108,

Irvine, California 92606

Phone: (949) 508-5577
Email: info@theoascenter.com

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