New Clients Enquiry Form Have you been searching for an Occupational Therapy service that can meet the needs of your child? Contact us to begin the intake process. New Client Enquiry Please complete this form so we can better understand your requirements and arrange a booking for you. Your name*Please fill in your name so we know how to address you.Your child's first nameYour child's age in years*We don't need your child's birthday yet, but it helps us if we know what age group your child is in.Reasons for OT*Please select the reason/s you believe your child requires Occupational Therapy. (For more information about each of these areas, please have a look at our Services Page.) Gross Motor Skills Fine Motor Skills Handwriting Autism Spectrum Disorder School Readiness Social Skills Self Care Skills Sensory Processing Cognitive Skills Other Who recommended your child for OT? Myself as a parent Paediatrician or Doctor School Teacher Preschool Teacher Other Allied Health Professional Other More informationIt would be great if you could give us a brief outline about your child and what sort of service you think they require.Phone Number*Please provide us with your phone number and email so that we can contact you.Email address*Please provide an email address so that we can contact you if we are unable to reach you on the phone.SuburbPlease let us know what suburb you live in.Prefered Practice LocationPlease let us know which of our three locations you would prefer to attend.Prefered LocationHornsbyKariongEppingUnsureAnything else?Is there anything you would like to ask us about, or any further information you would like to offer?NameThis field is for validation purposes and should be left unchanged.