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Therapy Where Life Happens
In-home occupational therapy means we come to your child’s familiar space instead of asking you to drive to a clinic. No waiting rooms. No rushing across town. We can see how your child handles the routines you want to make easier, in the place they actually happen. PEAK also works out in the community or at school when that setting fits the child best.
A home visit is not a judgment of how a house looks. We are there to learn about your child, not inspect your living room. A normal day gives us useful context: where a child reaches for a coat, where schoolwork tends to happen, and what the family is juggling.
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The Space Does Not Need to Be Perfect
You do not need a special therapy room or a house cleared of everyday life. It helps to tell us about the area where a task usually happens, whether that is a table, a bedroom, or the space by the front door. If something is especially difficult in a certain setting, we can talk with you about seeing that context.
Siblings and pets are part of many homes. You can mention them during your consultation so we understand what a visit is likely to be like. There is no need to pretend your household is quieter or more organized than it is. Parents can ask how to make room for the session while keeping their family’s usual needs in view.
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What We Do During a Visit
We work one-on-one with a child, using activities chosen around the evaluation and the family’s goals. A session may involve play, movement, fine motor work, or a familiar routine. The point is to connect what happens during the visit to what the child is trying to do between visits. We can look at how a task goes in the actual environment rather than guessing from a clinic example.
Parents are included. We explain why we are choosing an activity and talk about what we notice. We also listen when something that seems possible during the session feels too difficult for a regular Tuesday morning. Strategies should fit the family’s routines.
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Getting From the First Call to Care
You can begin with a free 15-minute consultation. We learn about your child and answer questions before an evaluation is scheduled. The initial occupational therapy evaluation lasts 60 to 90 minutes. It helps us understand strengths, needs, and daily participation before recommending a plan.
If ongoing one-on-one therapy makes sense, sessions are 45 or 60 minutes. PEAK is private pay, so payment is due at the time of service. There is no requirement to know exactly which service your child needs before you call.
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Where We Can Come
PEAK serves Bozeman and surrounding areas in person. Sessions may take place at home, out in the community, or at school, wherever fits the child best. That does not mean every session needs to happen in the same place. PEAK and the family can discuss which setting is useful for the goals being addressed.
For some children, the familiar setting helps PEAK see details that would be missed elsewhere. For others, a task at a playground or a school-related routine raises a different question. The setting is part of the conversation, not a separate service with an invented promise of progress. If your family’s schedule changes, tell us what has become difficult to arrange so you can talk about the visit together.