Please provide details of you plan management provider if applicable
Please provide details if applicable:
Please provide details if applicable
Happy Dots has a strict 48-hour cancellation and no-show policy. Your appointment time is a contract for the exclusive use of the therapist’s time. A credit card is required at time of booking to secure your appointment. A cancellation fee of $193.99 will be applied to any late cancellations or no show to appointments.
In order for us to best work with you, we need to know a little about your family. If you are unsure how to answer, feel
free to leave those sections for our first session.
So we can prepare the most appropriate service to your needs, we would like more information about what has brought you to occupational therapy. We also like to reach out to common referrers to offer additional supports.
Are there any current concerns regarding the following areas addressed by occupational therapy? Please tick all that apply.
Please wait, files are uploading..
Your response has been saved, but not yet submitted. To come back and continue later, please use this URL:
To receive the above link via email as well, enter your email address and click send.