Initial Enquiry Form

General Details

Reason for Seeking Occupational Therapy Services

Do you have any concerns in any of the following areas?  Please indicate Yes or No.

 If Yes please provide a brief description of concern. 


PLEASE NOTE THE FOLLOWING:
• Our after school appointments are the most sought after for school-aged children.
• Waiting times may apply for some of our services.
• If you are flexible with your times available - there may be a greater opportunity to provide services sooner.
We look forward to working with you and supporting your child.
Warmest regards

The Viva Kids OT Team.