Welcome to CHILDREN’S THERAPY NETWORK’S Referral Portal. In order to make the process of sending a referral to CTN easy, we have created these easy links.   

In the event of an internet glitch, we do ask that If you do not hear from us within 72 hours of submitting your request, please email or call us.  

OUR FORMS ARE SUPPORTED BY GOOGLE FOR HEALTH CARE PROVIDERS.  We are HIPAA compliant. 

If you are a DOCTOR or a MEDICAL OFFICE making a referral,  please complete this < FORM >

If you prefer a fillable form please download and email this < FORM > back to us.

If you are a SCHOOL, REGIONAL CENTER, or PRIVATE referral source, please complete this form: 

ENGLISH : SPANISH: 

All referrals should be sent to
[email protected] or Fax to 805-667-8201
Dr. Cassandra Woods-Peirce DPT, PT,
CEO Children’s Therapy Network, Inc.
1857 Knoll Dr. Ventura Ca 93003  p. 805.667.8200  f. 805.667.8201

View our Websites. Read our Facebook page for more information

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Currently CTN is accepting MOST insurance contracts

Please call us at 1-805-667-8200 with any questions!

Items we will need:

• Copy of insurance card, front and back

• Copy of M.D. Prescription or Evaluation with recommendations

• Customer demographics

• Pre-approval prior to treatment

Send your referrals today to [email protected]

1857 Knoll Dr. • Ventura, CA 93003 (805) 667-8200 • Fax (805) 667-8201