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Screening Session Form

Screening Session Form

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    *Dev Ped Assessments vs Screening Session with a Licensed Therapist*

    Screening Session by a Licensed Therapist

    • Has parent interview, direct observation of the child and comes with a written recommendation
    • Find out if your concerns are valid or not (this means, are they age appropriate or not)
    • Detect any major red flags
    • Recommendations for therapy will be given

    ✔️ Rate: Php 1,560.00

    ‼️ NOTE: This is not a doctor's diagnosis and a therapist will never give one.

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    Doctor Consultation with a Developmental Pediatrician (or Dev Ped)

    • Only Dev Peds can give your child a diagnosis and issue a Medical Certificate, if any, for PWD ID application from the local gov't
    • Has parent interview and child observation
    • Recommendations for therapy will also be given
    • Appointment wait time: between 6 to 12 months.

    ✔️ Rate: Php 4,000 to 8,000+++

    For exact rates and scheduling, please contact a Dev Ped directly. We have no in-house Dev Peds

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    For Dev Ped Consultations, please visit our Dev Ped Directory Link : TAP HERE

    Please contact the doctors directly. We do not handle their appointments.

     

    Here are some of the doctors located near us

    Try to contact:

    *Located in Quezon City:*

    • Dr. Jocelyn Sanchez
    • Dr. Sheryl Kho
    • Dr. Mark Reysio-Cruz
    • Dr. Jamaica Cayube
    • Dr. Kathryn Braganza

    *Located in Greenhills (Cardinal Santos):*

    • Dr. Jack Alexander Herrin
    • Dr. Renee Katigbak

    *Located in Pasig and Ortigas:*

    • Dr. Pabs Planta
    • Dr. Robina Hao Dy
    • Dr. Melinda Best (has their own clinic and not hospital based)
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    If you still wish to proceed with booking a Screening Session in order to start therapy earlier or while waiting for a Dev Ped Assessment, please continue to complete this form.

     

    In this form, we will ask you to complete payment and submit your proof of payment.

     

    Availability for Screening Session slots can take place between 1-3 weeks.  Please ensure that you have enough time to wait for a slot.

     

    Once payment is received, all requests to cancel will be changed a cancellation fee.

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    Our Licensed Therapist will review read this prior to meeting with you.
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    Guide: How to choose which type of licensed therapist

     

    OCCUPATIONAL THERAPIST

    If your concerns are related to speech, with behavioral concerns

    Examples of behavioral concerns:

    • uncontrollable tantrums or behaviors
    • social disinterest
    • hyperactivity
    • problems with focusing
    • uncontrollable angry outbursts
    • excessive fixations (e.g. on rotating objects, etc.)
    • tip-toeing while walking
    • no eye contact

     

    SPEECH THERAPIST

    If your concerns are purely related to speech, language and communication, without behavioral concerns (see above examples).

     

    PHYSICAL THERAPIST

    If you concerns are related to gross-motor skills or lack thereof.

    Examples:

    • balance is off
    • not walking properly
    • inability to "move" without assistance (e.g. sitting up, walking straight, and other bodily movements
    • excessive clumsiness (e.g. bumping into objects/furnitures, falling off chairs, etc.) 
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    Policies


    Payment is required in advance before we process your request to be booked for Screening.  Please ensure that you complete this form in full and ensure that you click "Submit".



    You may reschedule your appointment at least 1-day ahead of schedule.  A Re-Booking Fee of P420.00 will be charged.


    You may change your mind about proceeding with the booking but a cancellation fee of P616.00 will be charged.

     

    Strictly no refunds for NO SHOWS or cancellations of less than 5 hours before the scheduled Screening Session.  Requests to change schedule less than 5 hours before your booked appointment will be considered a No-Show and no refunds will be issued.

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    This amount is based on your choice of therapist above. If you wish to edit, please press "back" or "previous" to edit.
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    To pay, please TAP HERE to go to our Payment Portal Link

     

     Dont' forget to:

    1. TAKE A SCREENSHOT of your payment
    2. Return to this form and press "NEXT"
    3. Upload screenshot in the next page.
    4. Ensure that you click "SUBMIT" at the end to complete this form
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