Please select at least one option.

  • I understand this referral will be placed on a wait list and allocated as therapists have capacity. Submission of this form does not guarantee access to services.
  • I understand due to the current pandemic, services may be offered as Telehealth, face to face or a mix of both. I am willing to engage in Telehealth if required.
  • I am aware that ATT only provides intensive and block models of practice. Meaning that new clients will be offered a defined amount of services and acceptance to these services does not mean that your child will receive ongoing services.

Please agree to the terms to continue
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Please confirm your device options for Telehealth
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