Appointment Request Intake Form

Appointment Request Intake Form

The information you provide will only be used for booking appointments. As with any communication over the internet, this form may be intercepted by a third party. Submission of this form indicates that you accept this risk.

Alternatively, you can leave us a voice mail, telephone numbers for Speech Therapy and Occupational Therapy by location are located on the contact us page.

After we receive your request form or voicemail, an intake coordinator or clinical lead will contact you within 3 business days.

Although we update our availability regularly, it is possible that an appointment time listed below may have already been booked based on the flow of inquiries.

Child's first and last name:
Child's first and last name:
First Name
Last Name
SELECT THE PROFESSION TO SEE AVAILABLE APPOINTMENTS:
SELECT LOCATION

Speech & Language Therapy

SLP = speech-language pathologist
CDA = communicative disorders assistant

Occupational Therapy - East York

Occupational Therapy - Scarborough & North York

Occupational Therapy - Etobicoke & West Toronto

Virtual Services

To facilitate booking an appointment or to add your child to the waitlist please provide the following information:

Parent/Guardian first and last name
Parent/Guardian first and last name
First Name
Last Name
Address
Street Address
Apt, Suite, Bldg. (optional)
City
State/Province
Zip/Postal

 

FEES

Our fees are $160 per hour which includes up to 10 minutes for set-up, cleaning, and communication with the caregiver. 

* Rates will be increasing by $5-$10 on January 1, 2025 *

Assessment Fees:

  • OT Fine Motor & Printing/Motor skills:        60-minute assessment & summary letter: $240
  • OT Sensory/Emotional Regulation assessments require 2 appointments:           A 60 min appointment with child ($240) & a 45-minute parent consult appointment ($120): $360.00
  • SLP assessment: 60 minute appointment & summary letter: $240
  • Parent/Caregiver Workshop: Sensory Processing 101 - $80

For home and school visits - please add $30 for travel time to each session. 

Session Fees for OT & SLP:

  • 50-min. session + 5 min. debrief with caregiver + 5 min. clean-up: $160
  • 35-min. + 5 min. debrief with caregiver + 5 min. clean-up: $120
  • OT Printing Group $90/session x 8-50 min. sessions (please note there are no refunds for missed sessions)
  • SLP Social Circle $120/session
  • OT Sensory Virtual Workshop for Parents & Caregiver: $80

For home and school visits - please add $30 for travel time to each session. 

Health & Safety Protocols

A Note About our Health & Safety Protocols (March 2023):

  • Masks are optional at our clinic or during in-person treatment sessions at your home
  • If you and your family are more comfortable wearing a mask, please feel free to do so; if you let your therapist know, they will be happy to wear a mask during your assessment and/or treatment sessions
  • Your therapist may request that you and your child wear a mask for the duration of your session
  • We will continue to sanitize our equipment between each session
  • We do still request that you keep your child home if they have any signs of being unwell
  • Virtual therapy will continue to be offered as an alternative to in person therapy