Intake Form

Is this the right place for you and your child?

My premises include a custom-built space designed to foster imagination and interaction.  It provides play opportunities in the indoors and outdoors which allows a broad range of sensory motor input.

I am passionate about guiding children aged 0-17 years through therapy designed to enhance relationships and build confidence, independence and life skills.

I work with children in the Blue Mountains and surrounding areas.

If this sounds like the right fit for you, please fill in the intake form below and I will be in touch.

Intake Form

enter in dd/mm/yyyy format

What services are you interested in?

Does your child have a diagnosis or significant medical condition?

Does your child need an assessment?

Has your child had an assessment in the last 12 months?

11 + 12 =