The Children's Clinic Appointments & Enquiry Form

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Thank you for choosing The Children's Clinic.

Please note we have a very limited availability for psychology therapy in the clinic and we are not currently accepting any new referrals.

We are also not currently accepting new referrals for Occupational Therapy therapy (although we are still providing assessments).

However, as well as assessments, we do still offer once off Parent Consultation appointments where you can talk through your concerns with a Psychologist, Occupational Therapist and/or Speech & Language Therapist and get some advice around next best steps.

Click HERE to search for a Chartered Psychologist with the Psychological Society of Ireland working privately in your area.

Click HERE for the Irish Council of Psychotherapy list of registered, accredited Psychotherapists.

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Before continuing, please note that The Children’s Clinic specialises in assessing and supporting a broad range of developmental differences including autism, Dyspraxia and speech delay. If your concern for your child is in relation to the above, please continue with the form.

Following is a list of areas that we do not provide support for in the clinic:

Assessment for ADHD (although this is screened for as part of our autism assessments)

Significant mood/mental health concerns, including depression, post-traumatic stress, self-harm or suicidal thoughts (Please speak instead to your GP for an urgent referral to CAMHS and to discuss other options. If you are immediately concerned for your child’s safety present to A&E).

Eating Disorders

Auditory Processing Disorder

Reports for family court proceedings

Trauma or abuse

We do not provide Sensory Integration Therapy

Please note that it is The Children’s Clinic policy that all legal guardians sign our consent form and are in agreement that your child receive services from us. Children will not be seen in the clinic until the signed consent form is received by us.

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Please fill out below.* This field is required.
Full Name
Child's Full Name
Email Address
Mobile Number
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Child's Date of birth* This field is required.Child's Date of birth
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Based In* This field is required.
South County Dublin
South Dublin City
North County Dublin
North Dublin City
South Dublin City
Co. Kildare
Co. Kilkenny
Co. Carlow
Co. Wicklow
Co. Wexford
Other
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Address
Address Line 1
Address Line 2
County
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My child is in* This field is required.
Creche
Preschool
Mainstream Primary School
Mainstream Secondary School
Autism Class Primary
Autism Class Secondary
Special School
Home Schooled
Other
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My child needs* This field is required.
Autism Assessment (Identification)
Cognitive Assesment
School Transition Assessment
Speech & Language Assessment
Speech & Language Therapy Support
Parent Consultation (Psychology)
Parent Consultation (Occupational Therapy)
Parent Consultation (Speech & Language Therapy)
I'm Not Sure What My Child Needs
Parent Support for Preschoolers already formall identified as Autistic, with Mary McKenna
Psycho-Educational Assessment (for reading and/or math difficulties)
Occupational Therapy Assessment
Other
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Please provide some additional information about your child, why they may need clinical services and what you would like to gain from attending The Children's Clinic.* This field is required.
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Large
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Ok
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How did you hear about us?* This field is required.
Search Engine (eg Google)
Friend/Family
Facebook
Online Discussion Forum
GP
Other Professional
Word of Mouth
Other
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