Referal Type

Parental ReferralProfessional Referral

Child's Details

Child's name

Child's age

Child's school

Child's school year

Child in OOHCNoYes
Child's interests

Is there anything else Deadly Descendants needs to be aware of in regards to this referral?

Aboriginal or Torres Strait IslanderNoYes

Parent's Details

Parent's name

Parent's contact number

Parent's email

Additional Details

NDIS funding?NoYes

Has there been prior Counselling?NoYes
Is there a diagnosis?NoYes

Referral reason

Emotional LiteracyEmotional RegulationSocial SkillsIndividual CounsellingGroup WorkYoga TherapyLego-Based TherapyParent psycho educationOther

* Please note an assessment is required before a child can begin group sessions with other children. The assessment determines whether Lego-based therapy would be suitable for a child/teen, where they are at developmentally and it allows the therapist to identify which lego-based group would be suitable based on their interests, temperament and likelihood of connecting with the peers of the program.

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