Appointment Request & Intake Forms

Appointment Request Intake Form (old)

Appointment Request Intake Form (old)

The information you provide will only be used for booking appointments. As with any communication over the internet, this form may be intercepted by a third party. Submission of this form indicates that you accept this risk.

Alternatively, you can leave us a voice mail, telephone numbers for Speech Therapy and Occupational Therapy by location are located on the contact us page.

After we receive your request form or voicemail, an intake coordinator or clinical lead will contact you within 3 business days.

Although we update our availability regularly, it is possible that an appointment time listed below may have already been booked based on the flow of inquiries.

SELECT THE PROFESSION TO SEE AVAILABLE APPOINTMENTS:
SELECT LOCATION

Speech & Language Therapy

SLP = speech-language pathologist
CDA = communicative disorders assistant

Occupational Therapy - East York

Occupational Therapy - Scarborough & North York

Occupational Therapy - Etobicoke & West Toronto

Virtual Services

To facilitate booking an appointment or to add your child to the waitlist please provide the following information:

Child's first and last name:
Child's first and last name:
First Name
Last Name
Address
Street Address
Apt, Suite, Bldg. (optional)
City
State/Province
Zip/Postal