Child & Youth Assessment Enquiry Form

Please complete the enquiry form below and we will contact you to discuss your child’s needs, our testing structure and what you can expect before booking an appointment.

If you have private health insurance, you may be eligible for a rebate, however this must be arranged through your private health care provider.

Child Assessment Enquiry

Child Assessment Enquiry

Details of parent/carer:
Details of parent/carer:
First
Last
Assessment type required:
What are your goals for this assessment? (Please select all that apply)
Address:
Address:
City
State
Post Code
Details of person requiring assessment:
Details of person requiring assessment:
First
Last
How did you find out about us?
Has your child been assessed by a specialist mental health service for Autisim Spectrum Disorder?
Is your child on a waitlist for a specialist mental health service?
Has any professional concluded that your child does NOT have Autism?