Referral Form

DV Therapy provides speech, OT, behavioral health, and mental health services in and around the areas of Antelope Valley, Bakersfield, Los Angeles and San Gabriel Valley.

If you are seeking an evaluation and/or services with DV Therapy Inc., please fill out the attached form.







    Misarticulating Sounds/SpeechLanguage ComprehensionMisarticulating Sounds/SpeechListening SkillsVoices Differences (such as hoarseness, hypernasality, pitch, rate, volume)Grammar DifficultiesExpressive LanguageGrammar DifficultiesDifficulty with Fluency


    Frequent Restrictive/Repetitive Behaviors (e.g., mouthing, difficulties with change, or sensory behaviors)Skill deficits/differences in CommunicationSkill deficits/differences in SocializationSkill deficits/differences in Leisure/PlaySkill deficits/differences in Adaptive Living Skills (e.g., washing hands, dressing)


    *ANY CHANGES TO THE ABOVE INFORMATION NEEDS TO BE COMMUNICATED TO OUR BILLINGDEPARTMENT. FAILURE TO DO SO MAY RESULT IN A GAP IN SERVICE. THE FAMILY IS FINANCIALLY RESPONSIBLE FOR ALL SERVICES NOT COVERED BY INSURANCE*


    Great speech therapist! My 4 year old has been making big improvements since coming here. Ms. Tori is so patient... read more

    Ashleigh H. Avatar
    Ashleigh H.
    10 months ago

    My son has been a client here for about 2 years he gets Ot and speech therapy once a week.... read more

    sonya g. Avatar
    sonya g.
    1 year ago

    My son Alex has been attending for over one year and he is doing very well. His teacher Celeste is... read more

    Lisa V. Avatar
    Lisa V.
    1 year ago
    Yelp - Palmdale Yelp - West Covina Yelp - Los Angeles Yelp - Bakersfield