Therapy Assistant Request
This includes the information we need to start the process of pairing your child with the right Therapy Assistant.
Please complete all information below:
Client's Name
*
First Name
Last Name
Email
*
example@example.com
Where would you like the Therapy Assistant to support your child?
*
Home
Childcare
Kindergarten
School
Other
How often would you like Therapy Assistant sessions (for NDIS participants, please consider your "Improved Daily Living" funding - it's the same pool of funds as other therapies)?
*
Weekly
Fortnightly
Less often than fortnightly
Multiple times per week
What days/times would your child be available for Therapy Assistant sessions?
Therapy Assistants are available Monday to Friday, between the hours of 9am and 6pm.
Your availability (tick = available within this window):
Rows
Morning
Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
Tell us anything else we need to know.
Submit
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