Book an Initial Assessment for Your Child

Home / Book an Assessment

A simple step toward a clear individual plan. Fill in the form and we will get back to you quickly.

Saint Michael — Book an Assessment

Book an Initial Assessment for Your Child

Please fill in the following details accurately to help us prepare the most suitable assessment session for your child.

Parent/Guardian First Name

Last Name

Contact Phone Number

Child's Name

Child's Age (in years)

Type of Concern or Challenge Your Child Faces (you may select more than one)

Speech and Language

Behavioral Challenges

Learning Difficulties

Motor Challenges

Other

Requested Service

Best Time for a Phone Call

Morning (8:00 AM - 12:00 PM)

Evening (4:00 PM - 8:00 PM)

Additional Notes (optional)

I agree to the privacy policy and confirm that all information provided is accurate and will be handled with complete confidentiality for assessment and rehabilitation purposes.