Apply for Quest Services

Welcome to our application form - we look forward to talking with you about your child and the services we provide. Please complete the application for services on the link below.  Once the application is complete and submitted, Quest will contact you for further information and begin the process. 
We currently have a few openings in the early afternoons.  When applying, please be flexible in your appointment times - the more flexible a family can be with appointment days and times, the sooner they will be taken off our wait list.  Saturdays have the longest waiting list of any of our days. Thank you for your understanding.

Please let us know if you can come on Wednesday or Friday mornings.  
On the application, please note the earliest time of the day that you are available for therapy appointments.