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Schedule a 1:1 Consult - Parent/Carer Consult/Skill Building
If you are a support coordinator or other referring agency, please provide your details below and any relevant information. (I.e. if you should be cc'd into all communication)
The rest of the information will be that of your client.
Name
*
First
Email
*
Phone
*
Service you are interested in?
*
Parent/Carer Consult/Skill Building (1:1 online)
Parent/Carer Consult/Skill Building (1:1 in clinic)
OTHER
To select more than one topic, hold down the CTRL button while making your selection.
My sessions are $262.50 for 90 mins & run over Zoom. They are for the parent/carer to attend (not the child). Are you :
*
Private Paying (no NDIS funding)
Self Managed with the NDIS funding
Plan Managed with the NDIS funding
I am able to support private paying, self or plan managed NDIS clients. Unfortunately 'm unable to support NDIA managed clients as I'm not a registered NDIS provider.
Preferred Day of the Week for Consult?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Any Day of the Week
Preferred Time of Day for Consult?
*
Morning 9:30am-11am
Lunch Time 12pm-1pm
Afternoon 2pm-4pm
Evening 5pm-7pm
Any time of day
Please note I will do my best to accommodate your requests however this is not always possible.
I am in Melbourne, VIC, Australia. To calculate any potential time zone difference, what suburb or city, state and country are you in?
*
Full name of child(ren) & dates of birth (the one(s) with the NDIS plan or the one you are looking for support for)
NDIS Number - only if you are plan managed with NDIS funding
Plan Management Company Name - only if you are plan managed with NDIS funding
Email for Invoices - only if you are plan managed with NDIS funding
If you are private paying or self managed with NDIS funding your invoices will go to the email you have listed as your contact email.
Plan Management Company Phone Number - only if you are plan managed with NDIS funding
Message:
*
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Phone
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