Referrals

Unfortunately our books are currently closed.

Please select at least one option.

You understand and agree to the following terms:

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.

I Agree

Please agree to the terms to continue

Child's Name

Please enter your child's name.

Date of Birth

/ / Invalid Date of Birth

Diagnosis / Medical Conditions

Please confirm child's diagnosis

Parent/Carer concerns, reason for referral, childs goals and other information that you would like our team to know

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