Request an Occupational Therapy Consultation Name * First Name Last Name Email * Phone * Country (###) ### #### Message * Services * Please indicate the OT service you are interested in Parent Coaching (virtual discussion around your child’s concerns & recommendations provided for your child to thrive) Maternal Consultation (concerns related to your self-care, productivity, and leisure) Education (groups, camps, parent education, webinars etc.) 1:1 Occupational Therapy for Kids Please indicate any areas where your child may be experiencing difficulties with a check mark. * Fine motor skills (e.g., writing, cutting, zippers, buttons, laces) Gross motor skills (e.g., walking, jumping, running, ball skills) Communication Self-care skills (e.g., dressing, feeding, ) Attention and concentration Social skills Emotional Regulation Developmental Milestones Sensory processing (e.g. how your child responds to touch, sound, movement, etc.) Picky eating (picky about food textures, taste etc.) Executive Functioning Skills (organization, memory etc.) Motor Co-ordination Skills Sleep (difficulty falling asleep, staying asleep etc.) Difficulty with Transitions (school transitions, routines at home etc.) Difficulty with clothing textures Other concerns Thank you so much for submitting the form. Currently, virtual Occupational Therapy services are being offered during the weekdays. We will get back to you in 2-3 business days.
