Screening Child Development Registration Form

Check box for main areas of concern

DISCLAIMER:  By submitting this form you understand that your child will be seen for a screening session with a qualified Speech-Language Therapist and Occupational Therapist. This screening is not a replacement for a full and complete Occupational Therapy/Speech Therapy assessment, but aims to provide you with a clearer picture regarding your child's development and if there are any areas of concern that need to be further addressed. We will share with you our recommendations and advice regarding your child's development in the areas we assess, and also share relevant information regarding any concerns that may arise. Please also note this screening session does not replace a visit to your pediatrician and no formal diagnosis of developmental disorders will be given.