Our therapy appointments are booked in Central Daylight Time (CDT). For California appointments, please note the +2hr time change when scheduling.

If some thing comes up and you need to cancel or reschedule, please let us know as early as possible. Missed appointments or late cancellations may come with a fee, and we really appreciate your help keeping thing running smoothly.

Karen Smith Consulting and Occupational Therapy, LLC We offer services to clients and families in their homes, communities, at school where approved, or wherever support is needed.

KSOT - CA **Virtual Appointments are Central Standard Time (+2h).** Providing Telehealth Evaluations and Occupational Therapy Services.