IWB - Occupational Therapy Program Application

Mailing Address:

Occupational Therapy Center

IWB, Towson University

8000 York Road

Towson, MD 21252

Location:

Occupational Therapy Center

Institute for Well-Being

7400 York Road

Towson, MD 21204

Phone: 410-704-7300

Thank you for contacting the Occupational Therapy Center.

The Occupational Therapy Center will be offering individual and small group treatment services for Spring 2025.

Our Spring Clinic begins February 10th through May 9th..

PLEASE NOTE: Completion of this application form does not guarantee enrollment in our programs. We will contact you to confirm program enrollment.

We will provide in-person and teletherapy service options for individual sessions.

When applying for programs, you will need to indicate whether you want in-person or teletherapy services and which days of the week and times you are available.

We accept Medicare, Medicaid and Blue Cross and Blue Shield insurance.

When requesting treatment services, please provide your/your child’s evaluation report or records. You can fax to 410-704-6303 or email occupationaltherapycenter@towson.edu **

** If you choose to send by e-mail, please use a secure e-mail method.

If you need assistance please contact us at 410-704-7300.

To get started, please make a selection below.

Are you also interested in group therapy for your child?

YESNO

Are you also interested in individual therapy for your child?

YESNO

Are you also interested in group therapy?

YESNO

Are you also interested in individual therapy?

YESNO

Have you ever received services from the Occupational Therapy Center?

no, I am a new clientyes, I am a returning client

Child's First Name

Child's Last Name

Child's Age

Parent/Adult First Name

Parent/Adult Last Name

Your First Name

Your Last Name

Phone Number

E-mail Address

Child Group Sessions:

Please indicate below the days and times in order of preference for sessions.

Toddlers (18months - 3 years): Friday morning 9:30am-11:00am

Preschool (3-5 year olds): M-Tu-W-Th 9:00am-11:30am

Preschool (3-5 year olds): M & W 9:00am-11:30am

Preschool (3-5 year olds): Tu & Th 9:00am-11:30am

Select group session for your child in order of preference

ToddlerPreschool M -Tu-W-ThPreschool M & WPreschool Tu & Th

Adult Group Sessions:

Please indicate below the days and times in order of preference for sessions.

Community Health and Resiliance in Parkinson's (CHIRP)

Wednesday 1:30PM - 3:30PM

Please select the group session of your preference

Parkinson's - Wednesday

Please let us know about accommodations needed or for inquiries about accessibility

Please provide specific requests here

My Question