NEW Speech Therapy Booking Enquiries

Intake at Hills District Speech Therapy is completed by a senior speech pathologist or intake officer. We understand you will have many questions and we will happily guide you through the whole process with the aim of booking you in with the most suitable speech therapist for your requirements.  Please use the form below which will assist us in this process. You will be contacted by text or phone within the week to be updated on the status of your enquiry.

If you are also interested in Occupational Therapy, please complete the linked form below:

New OT Clients

To better assist us with processing your enquiries, please ensure that you complete a separate form for each child requiring our services.

"*" indicates required fields

DD/MM/YYYY
This is how you will be contacted initially
Preferred days and times for ongoing intervention*
Please be aware that greater flexibility will assist in receiving placement sooner and we will look for placement according to the information you have provided before getting in contact with you.
Preferred location
Are you transitioning from another service?
Please indicate if the client presents with the following
Funding type
This form will go to our intake team who will respond within a week VIA EMAIL to indicate your position for placement. Please check your junk email to ensure you have received this.
This field is for validation purposes and should be left unchanged.