Before beginning services we conduct a full evaluation through standardized assessment, parent interview, observation of the child, and parent/caregiver interview. This will cover areas of fine motor skills, visual-motor integration (writing, drawing), general coordination and bilateral coordination, balance, sensory-processing and sensory-integration, self-care skills and activities of daily living (includes feeding/eating)and areas of executive functioning as they impact the child’s engagement in their meaningful activities (ability to sit and attend to a lesson in school, sit patiently in a chair with appropriate impulse control, planning, flexible thinking, organization, task initiation, etc.). The evaluation will identify both areas of strength and deficit of the child, allowing for an effective treatment plan to be established alongside with meaningful, appropriate, and attainable goals. Parent/caregiver input is vital in this process as we embrace a family-centered approach. No diagnosis is needed to have an evaluation, as we determine areas of need based on the individual and not on general diagnostic criteria.