get in touchPlease complete the form below for all Paediatric enquiries and we will be in contact with you shortly. Alternatively, you can call us on 1300 685 046. Name of Child(Required) DOB of Child(Required) DD slash MM slash YYYY Phone Number(Required) Email Address(Required) Parent/Care-Provider Name(Required) Contact Details (if different from child) Area(Required)Sunshine CoastHervey BayGympieBrisbaneGold CoastPlease select your areaSuburb(Required) Educational setting (daycare, kindergarten, school)(Required) Funding Type(Required) NDIS Plan Managed NDIS Self Managed Primary Diagnosis/Presentation (please list all)(Required) What are the therapy goals you want to achieve?(Required) Are there any behavioural/mental health concerns you want to share with the team? (This ensures we can advise on the best clinician to support your child’s needs)(Required)