Contact us For General Enquiries please contact: admin@otgyms.com.au Online Referral Name * First Name Last Name Email * Contact Number Child's name First Name Last Name Child's Date of Birth: Child's Gender Identification Child's School or Pre-School Child's Strengths and Interests I'm Interested in OT Assessment OT Intervention (One on One) - In Chatswood Clinic OT Intervention (One on One) - Mobile service in home or school, if available Parent coaching or teaching Pair or small group sessions NDIS reports Child's Diagnosis What would you like to achieve in OT? Does your child have difficulties with the following Fine Motor Skills (e.g. manipulating small objects/tools in hands, handwriting and drawing etc) Gross Motor Skills (e.g. coordination, sports, muscle strength and endurance) Sensory Processing (e.g. understanding and responding to sensory input appropriately) Social Skills (e.g. making and maintaining friendships) Emotional and Self Regulation (e.g. being able to respond appropriately when experiencing different emotions or tasks) Executive Functioning (e.g. planning, organising, keeping belongings, problem solving, starting and finishing tasks) Self-care skills (e.g. toileting, dressing, showering, eating etc) Access to funding No funding support (self-paying) NDIS - Self Managed NDIS - Plan Managed NDIA managed (Please note: OT GYMS is not a registered NDIS provider) Other funding Advise your availability throughout the week to attend OT session/s Thank you for your Online Referral.
