Claim your Free 15 Minute Phone Consultation
Please fill out the form below if you suspect that there are difficulties with auditory processing, learning and reading. Your information will never be shared with a third party, and is confidential once submitted. Click submit to claim your free 15-minute phone consultation with a member of our knowledgeable staff.
Your Name
*
First Name
Last Name
Name or person this form relates to
*
First Name
Last Name
Is the person you're enquiring for
*
Yourself
Your Child
Your Parent
Your Friend
Your Student
Your Patient
Your Spouse/Partner
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Please select if the individual is experiencing any of the following symptoms
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Not mastering reading, spelling or maths
Has difficulty concentrating
Has difficulty following verbal instructions and needs questions repeated
Poor handwriting or awkward pencil grip
Poor balance, clumsy or accident-prone
Confuses left and right, or uses hands interchangeably for the same task
Reverses letters or numbers (eg 'b' or 'd')
Skips lines or words when reading
Poor reading comprehension or spelling
Has difficulty getting out of bed and ready for work or school
Tends to delay doing tasks or homework (procrastinate)
Gives up easily and tires quickly
Overly tired at the end of the day
Less socially apt compared to others
Lack motivation and interest for current work, projects or studies
What else should we know before we call you
*
Please let us know of any further comments or concerns, if you feel comfortable to do so (for example, if you have sought help or have had a formal diagnosis for learning and reading difficulties)
Submit
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