ABA therapy
Thank you for your interest in registering your child for ABA therapy! We have limited availability for ABA therapy. Datakids provides centre based therapy only and we are currently taking in children between the age of 2 - 7 years old. If you are interested to register your child for our services, kindly enter the required details below and we will get in contact with you soon.

If you would like to know more about ABA or meet our team, check out our website https://datakids.co/

Pre-Registration
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Email *
How did you get to know about us?
你是怎么知道我们的？
 *
Your full name
您的姓名 *
Child's full name
您孩子的姓名 *
Parent Contact number
您的电话号码
 *
Child's IC no.
您孩子的IC号码
 *
Current Home Address
地址
Child's date of birth
孩子的出生日期
 *
MM
/
DD
/
YYYY
Is your child on any medication?
您的孩子目前有在服从任何药物吗？
 *
Does your child have any allergy?
您的孩子有对任何东西敏感吗？
 *
Does your child have an official diagnosis of any developmental/ learning disorders?
您的孩子有任何学习障碍的官方诊断吗?
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Which pediatrician does your child visits?
您的孩子看哪位儿科医生？
 *
What type of therapy does your child currently attend?
您的孩子目前正在接受什么类型的治疗？
 *
Required
Does your child attends preschool/ nursery?
您的孩子目前有上幼儿园/托儿所吗？
 *
What are the type of games, activity or toys that your child likes?
您的孩子喜欢什么类型的游戏、活动或玩具？
 *
(please name minimum 3)
If left alone for a period of time, what will your child do?
如果你的孩子一个人呆了一段时间，你的孩子会做些什么？
 *
(please explain as detailed as possible. Eg. he would walk around the house, touch a few things, spins his body etc)
What is your child's favourite cartoon character or nursery rhymes?

您孩子最喜欢的卡通人物或童谣是什么？
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How often does your child get screen time in a day?
您的孩子一天中有多少屏幕时间？
 *
(eg. to watch nursery videos or play games etc)
How does your child let his/her needs and wants be known?
您的孩子如何让他/她的需求被人知道？
Can your child imitate the words you say?
你的孩子能模仿你说的话或简单词汇吗？
Clear selection
Can your child speak?
你的孩子会说话吗？
 *
Can your child play with toys appropriately for more than 30 seconds?
您的孩子可以适当地玩玩具超过 30 秒吗？
Eg. Child can play with cars and vehicles for more than 30 seconds (alone or with siblings/ peers)
Clear selection
Does your child has any unique behaviours?
您的孩子有什么独特的行为吗？
 *
Required
I am looking for ABA therapy for my child to:
我正在为我的孩子寻找 ABA 疗法：
 *
Can your child remain in an enclosed room with an adult?
您的孩子是否能与成人呆在一个房间里？
 *
Has your child had ABA therapy in the past?
您的孩子过去接受过 ABA 治疗吗？
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Which centre/ ABA therapist provided ABA therapy for your child?
您的孩子实在哪个ABA中心/ ABA 治疗师为您的孩子提供 ABA 治疗？
For how long did your child receive ABA therapy?
您的孩子接受 ABA 治疗多久了？
What are some of the goals you have for your child?
您对孩子有哪些目标？
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Required
How many ABA therapy hours are you keen to register your child for? 
您希望为您的孩子注册多少 ABA 治疗时间？
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NOTE: The minimum hours to enroll your child is 2 hours per week and maximum 10 hours per week
Required
Does your child have any other siblings?
您的孩子还有其他兄弟姐妹吗？
 *
Are there any other concerns you have regarding your child? 
您对孩子还有其他顾虑吗？
Are both parents local Malaysian that are currently living in Johor Bahru
Clear selection

Terms & Conditions for Therapy Slot Requests:
(1) Completion of this form does not guarantee a therapy slot.
(2) Availability for therapy slots may take between 8 to 12 months (or more), depending on the circumstances.
(3) We appreciate all parents patience. We do recommend seeking alternative therapy for your child if you've waited over eight months for our therapy slot, as early intervention is essential for their development.

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