Registered NDIS Provider

New Enquiry

If you’d like to make a new enquiry about engaging our services at House on the Hill – Paediatric Occupational Therapy in Canberra, then please complete and send the form below.

New Enquiry

Child First Name

Child Last Name

Child Date of Birth (DD/MM/YYYY)

Parent / Guardian First Name

Parent / Guardian Last Name

Relationship to Child

Telephone

Email Address

Reason for Seeking Occupational Therapy

Childs Diagnosis (if obtained, else state 'None')

How were you referred to us?

Would you be open to attending a cancellation slot at short notice, usually 48 hours prior to date / time of slot? Would you be open to attending a cancellation slot at short notice, usually 48 hours prior to date / time of slot? Yes No

1 + 7 =

Address

New Enquiry

House on the Hill Occupational Therapy Pty Ltd

5 O’Hagan Street

Latham

Canberra

ACT

2615

Telephone Number

0497 902 173

Get Directions

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