OT Treatment & Intensive Program Waitlist

What services do you require? Please select however many services you require. *
When do you require services? *
Referral Questionnaires:
 
If you are new client or you have not attended The Sensory Gym in more than 2 years you will be required to complete our referral questionnaires. These referral questionnaires will need to be downloaded from the link below, completed, scanned and uploaded to this form before being placed on our wait list. You are able to save this form and come back to upload your questionnaires once completed.
 
All Previous clients that have attended The Sensory Gym within the last 2 years will need to complete a previous client form only.
 
You will also need to complete a risk management form which can be found at the same location as the questionnaires. Please see below for the link.
 
If you do not have a scanner, we reccommend a free app called CamScanner.
 
Please note that you are not placed on our wait list until you fully submit all of the information we require.






IMPORTANT INFORMATION:
 
Please note that once you have been contacted by our office and an intensive program or evaluation has been offered and accepted your $50 non-refundable deposit will be processed from the card that you are supplying below. 
 
If you are an NDIS Client, NO payments will be processed from your card unless the cancellation policy applies.
 
(Please note that this information will be stored securely)
Visa

Once this form is submitted your child will be placed on our wait list for either an OT evaluation or a school term intensive program depending on which you have selected above. As places become available, a staff member will contact people on the wait list in the order in which they have been received to arrange a booking. You will have a short timeframe to confirm before we offer the place to the next on the wait list. No deposits will be processed until a booking is confirmed. If you no longer wish to remain on our wait list, please contact our office on 45789799 as soon as possible so we can remove your child's name. We thank you for your patience whilst waiting for places to become available.

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