Support Coordinator referral form for Occupational Therapy

Occupational Therapy (OT) focuses on helping children develop the skills they need to perform daily activities with confidence and independence. This form allows you to share specific observations and concerns. The information you provide serves as the initial step to DST following up your expression of interest for our Occupational Therapy services, noting the information below.
You will be required to include contact details for a participant's parent/guardian before submitting this form (Name, Phone, and Email). You will also be asked to confirm that consent has been obtained for this referral. Please ensure you have this information prior to completing the form.