Contact Us

Use the form on the right to contact us.

 

CLICK HERE to apply to Wilson Pediatric Therapy

or give us a phone call 859-475-4305

175 W. Lowry Ln, #104
Lexington KY 40503
USA

859.475.4305

Wilson Pediatric Therapy & Learning supports Occupational Therapists, Physical Therapists, Speech Therapists, and Educational Interventionists in their pediatric practice.  

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Request Services

1.  Submit our quick online referral for services. 

2.  Speed up your child's patient processes by printing & completing the available forms before your first visit.


Online patient referral

Patient Name *
Patient Name
Patient Birth Date
Patient Birth Date
Parent/Caregiver Name *
Parent/Caregiver Name
Parent/Caregiver Phone *
Parent/Caregiver Phone
Patient may need: *
NOT REQUIRED FOR SUBMISSION
If you will be billing health insurance for these services please fill in the following fields.
Policy Holder Name
Policy Holder Name
Insurance Phone
Insurance Phone