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Occupational Therapy
- Does my Child need Occupational Therapy?
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Enquiry Form

If you would like to book an appointment with us for a consultation or ongoing therapy, please complete the form below and we will be in contact with you as soon as possible

Book an Appointment

Your child's full name

First name

Last name

What is your child's gender?

What is your child's date of birth?

Parent/caregiver full name

First Name

Last Name

Email

Best contact number

How often would you like your child to attend occupational therapy?

Weekly

Fortnightly

Other

How often would you like your child to attend occupational therapy?

Monday

Tuesday

Wedneday

Thursday

Friday

Saturday

Sunday

What is your preferred location for OT? (Multiple selections allowed)

Clinic

School

Home

Group based programs

other

What would you like therapy to focus on? (Multiple selections allowed)

Emotional Regulation

Social Skills

Toileting

Personal Care

Fine Motor Skills

Gross Motor Skills

Parent Education

School Readiness

Behavioural Support

Feeding

Transition from School

Other

Does your child have a diagnosis?

Yes

No

If yes, please enter diagnosis

Type of funding

Private

NDIS Self Managed

NDIS Plan Managed

Medicare Plan

Has your child seen an OT before?

Yes

no

I'm not sure

Is your child participating in any other services? If so, please enter below.

Location

Unit 101B, Greenway Plaza 1183-1187 The Horsley Dr, Wetherill Park NSW 2164
Monday – Saturday: 8:00am-6:00pm

Contact

(02) 8750 8061
admin@leapsandboundsot.com.au

Services

Occupational Therapy
Sensory Integration
Group & Holiday Programs
Parent Education
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