Skip to main content

About Us Careers Heartspring Store Search

Therapeutic School
Pediatric Clinic
Resources
Support Us
Careers

Search

Donate Request Services

Search

Therapeutic School
Pediatric Clinic
Resources
Support Us
Careers

About Us Careers Heartspring Store

Donate Request Services

Outpatient Services Appointment Request

"*" indicates required fields

Parent/Guardian 1 Information

Name*

First Last

Email*

Phone*

Parent/Guardian 2 Information

Add Parent/Guardian 2

Yes

Name*

First Last

Email*

Phone*

Child Information

Name*

First Last

Date of Birth

MM slash DD slash YYYY

Service Questions

Name of PCP*

What type of insurance would you like to use?*

United Healthcare

Blue Cross Blue Shield

Aetna

TRICARE

Medicaid

Cash Pay

Other

Which service(s) are you interested in? Check all that apply.*

Applied Behavior Analysis (ABA)

Audiology

CARE Clubs

Feeding Therapy

Occupational Therapy

PEERS

Physical Therapy

Physical Therapy Assistive Equipment & Technology Clinic

Speech-Language Therapy

What are your concerns and questions?

The more information you provide, the more effective we can be in assisting you!

How did you hear about Heartspring?*

Examples: social media, ChatGPT, pediatrician, etc.

Heartspring

Heartspring is a place of possibility for kids the world underestimates. We assess, diagnose, treat, educate, and inspire children with neurodevelopmental needs.

CARF Accredited

Heartspring is accredited by CARF International for its Therapeutic School’s Residential Program and Pediatric Outpatient Services.

Stay Updated with Heartspring

Join our newsletter to receive the latest news and updates about Heartspring's services and initiatives.

Phone

Main Office:
316-634-8700

Toll-Free:
1-800-835-1043

Outpatient Scheduling:
316-634-8701

Outpatient Front Desk:
316-634-8710

Address

8700 E. 29th St. N.
Wichita, KS 67226

Email

General:
info@heartspring.org

Quick Links

Mailchimp Form with Validation

Subscribe

* indicates required

Email Address *

First Name *

Last Name

I'm interested in: *

Heartspring News & Updates
Careers at Heartspring

Please select at least one interest.