Claim your Free 15 Minute Phone Consultation

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 *
Phone Number *

Area Code Phone Number
Email *
example@example.com
Please select if the individual is experiencing any of the following symptoms *

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)
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