Client Referral Form

If you have been referred to Kickstart Kids Therapy you can simply complete our referral form to get started.

This form will ask for the basics of your situation so we can tailor our services to your child's needs.

Once you have completed the form and indicated whether you are interested in our Occupational Therapy, Physiotherapy, or Speech Pathology services we will be in touch to discuss the next steps.

If you have any questions or concerns about the referral form, you can call us directly on (02) 9326 6433.


Occupational Therapy

Occupational Therapists at Kickstart Kids Therapy  investigate Sensory Processing and utilise an Ayres' Sensory Integrative (ASI) approach.

Referral Form

Please fill out the below form and we'll be in touch with the next steps

Service Required
Therapy Preference Times/Days
NDIS Funding (if applicable)

Thanks for submitting!


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