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, Midtown & Downtown

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

OCCUPATIONAL THERAPY FEES

• OT Fine Motor & Printing/ Motor Skills Assessment: 60-minute appointment & summary letter: $247.50
• OT Sensory/Emotional Regulation Assessment (requires 2 appointments): 60-minute appointment with child ($247.50) & 45-minute parent consult appointment ($123.75): $371.25
• OT Treatment 60: 50-min session + 5-min debrief with caregiver + 5-min clean-up: $165
• OT Treatment 45: 35-min session + 5-min debrief with caregiver + 5-min clean-up: $123.75
• Sensory Processing Workshop for Parents & Professionals: $85
• Printing Group: 8 x 50-minute sessions: $90/session

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

SPEECH-LANGUAGE FEES

SLP = speech-language pathologist
CDA or SLA = communicative disorders assistant or speech language assistant

• SLP Assessment: 60-minute appointment & summary letter: $255
• SLP Treatment 60: 50-min session + 5-min debrief with caregiver + 5-min clean-up: $170
• SLP Treatment 45: 35-min session + 5-min debrief with caregiver + 5-min clean-up: $127.50
• SLP Social Circle Group: 6 x 50-minute sessions: $127.50/session
• CDA or SLA Treatment 60: 50-min session + 5-min debrief with caregiver + 5-min clean-up: $120
• CDA or SLA Treatment 45: 35-min + 5-min debrief with caregiver + 5-min clean-up: $90

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