Request pediatric therapy

Ask A Grade Therapy about OT, speech therapy or PT in Charlotte, Concord and nearby communities. We confirm your location, requested service and current availability before scheduling.

Use this form to request an evaluation, referral follow-up or intake documents. Share your own contact details. Our team will review your request and reply by email with the appropriate secure intake documents.

Professional referral instructions

Phone: 980-399-5454
Referral fax: 980-422-0169

Please do not include child identifiers, medical records, diagnoses or insurance details in this form. Use the secure documents we email you or the referral fax for patient information.