Forms

“I long to accomplish a great and noble task; but it is my chief responsibility to accomplish small tasks as if they were great and noble.”

– Helen Keller, American author, disability rights advocate, political activist and lecturer.

 

Forms

“I long to accomplish a great and noble task; but it is my chief responsibility to accomplish small tasks as if they were great and noble.”

– Helen Keller, American author, disability rights advocate, political activist and lecturer.

 

Physician Referral Forms

The following two forms are for physician completion to initiate services with Empower Occupational Therapy. The first form is for low-vision occupational therapy services and the second is for general occupational therapy services.

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