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Date of birth of person requiring Occupational Therapy:*

Do you have any funding for therapy?

NDIS self managed planNDIS agency managed planNDIS plan managedMedicare complex diseases planPrivate health insuranceSelf fundedOther

Where would you prefer to have the therapy appointments?

at Active Kids OT clinic room in Kallistahome visitsschool visitsa combination according to where is most suitable to work on the therapy goals

What time of day would you prefer appointments to be?

afterschool onlyduring school hoursanytime