Speech Pathology Application

What you need to know

Our speech pathologists work on a range of communication needs.

We focus on language (ability to understand and use language), articulation (speech sounds), social skills and literacy.

We support students struggling to develop appropriate reading and spelling skills, with effective high-quality intervention using the Sounds-Write program.

Your application will be reviewed and we will contact you to advise available times and to book your first appointment.

Cost information

Individual Therapy Sessions

Each session is 45 minutes weekly ongoing. The sessions will take place at our Frewville or Black Forest location.

Each session is $180. Any workbooks required will be at an additional cost.

If you are a SPELD SA member, this will entitle you to receive 5% discount per session as well as 5% discount for essential homework books.

(if required we also offer assessement)

Assessment

We offer a 2hr assessment designed to assess school-aged language and literacy skills (including a written report). The cost is $700.

The written report will be ready within 3-4 weeks.

If you are a SPELD SA member, this will entitle you to receive 5% discount off the total cost of the assessment.

Parent/Adult Applicant Details

Parent Name/Adult Applicant

First NameLast Name

Contact Phone Number

Area CodePhone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

SuburbState

Post CodeCountry

Student's Details

Student's Name

First NameLast Name

Date of Birth

Date

Current School

(for adults provide last school attended)

Year Level at School

(for adults provide year level achieved)

Areas of Difficulty

Please provide a brief description about the difficulties your child is having in any of the following areas:

Hearing.

Receptive language (ability to understand language)

Expressive language (ability to use language)

Speech sounds

Social communication

Reading

Spelling

Other areas of concern.

Please provide any professional assessment information here if applicable

Preferred location:

Preferred day

First preference

Second preference

Are you open to other days/times if your preferred day/time is not available?

Please indicate how your child’s speech pathology services will be funded.

If plan-managed, please provide your plan manager details. For other option, please provide billing details for invoicing purposes.

If your child has a NDIS plan, please provide the start date and end date listed below

Date

NDIS plan end date

Date

Are you open to other days/times if your preferred day/time is not available?

How did you hear about the Speech Pathology Services?

Submit Form

To submit the form online, you will need to enter the Captcha word below and then click the SUBMIT button. You will receive an email copy of the information you have provided for your records.

Enter the message as it's shown