Skills for Kids

Child's name:

Child's year at school:
Toddler Preschool Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 Other

Child's age:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Other

Child's date of birth:
dd/mm/yyyy

Child's school:

Name of parents / guardians:

Home telephone:

Work telephone:

Mobile telephone:

Email:

Postal address:

Type of assessment required:
Developmental assessment School readiness Fine motor skills Handwriting and writing Gross motor skills Sensory integration Social skills Self care skills Transition to preschool, primary or high school and further education or employment Special provisions for examinations Assistive technology (Computer) Prescription of specialised equipment Funding for equipment and programming Access and environmental modifications Other

What are your child's needs? Your concerns?:

What questions do you want ask us?: