Request an Appointment Are you a new client, current client or wanting to enquire? CHILD INFORMATION Child's Name * First Name Last Name Date of Birth * MM DD YYYY Sex * Female Male Gender Identity Diagnoses (if known) * FAMILY INFORMATION Your Name * First Name Last Name Email * Subject * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country What services are you wanting? Occupational Therapy Exercise Physiology Intensive Therapy Dynamic Movement Intervention (DMI) Cuevas Medek Exercises (CME) Kinesiology Physiokey Therapy Group Play-Based Therapy Primitive Reflex Integration NDIS Access Report NDIS Functional Capacity Report Other What days and times are you available for therapy appointments? Monday Tuesday Wednesday Thursday Friday Morning Midday Afternoon In Clinic (Currimundi) Home Visit Telehealth Thank you for completing our form! Our team will reach out to you shortly. We look forward to connecting with you and your family.For any urgent inquiries, please call 0494328317 and leave a message. If you require immediate healthcare or are feeling unwell, please dial 000, contact your GP, or visit your nearest emergency room. Please note that our clinic is not equipped to handle health crises.
