Book Private Sessions with Specialist(s)
Please fill in your requirement details and we will get back to you with an appointment.
Email address *
Child's Name *
Your answer
Child's Age *
Your answer
Child's Gender *
Child's Diagnosis *
Required
My Name *
Your answer
Relation to child *
Your answer
Prefered mode of contact *
Phone Number *
Your answer
Prefered language of the session *
Your answer
What kind of session/ services are you looking for? *
Example: special educator for VI, speech therapist, remediation, need the child to calm down, parent counselling etc
Your answer
What time slots work best for you and your child?
Please select all that apply
Morning (9 AM - 12 PM)
Midday (12 PM - 2 PM)
Afternoon (2 PM - 5 PM)
Evening (5 PM - 8 PM)
Column 5
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Have you ever consulted with/ or continue to consult with a special needs expert? If yes, please share some details. This will help us find a better match for you. *
Your answer
Any other comments and/or questions or behaviour details you want to share. *
Your answer
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