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Contact Form

From the following checklist please select any of the symptoms you feel might be affecting your child:
Reading difficulties
Poor spelling
Writing problems
Dyslexia
Poor at ball games
Difficulty learning to ride a bicycle
Dyspraxia
Problem tying shoe laces
Difficulty learning to blow nose
Difficulty learning to swim
Problem learning to skip
Attention Deficit Disorder
Low self esteem
Anxiety/panic attacks
Travel sickness
Concentration problem
Poor organisation and planning
Difficulty establishing and retaining friends
Messy eating or spilling when pouring
Losing or forgetting books/sports gear
Short Attention Span
Dyscalculia
Difficulty with rote learning
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Enter your name:
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Email address:

Enter your postal address
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Enter your Telephone Number:
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Name of child:

Age of child?

In school what class is the child in?
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Has the child been diagnosed with any condition?
Yes No
(If yes, please specify)

Message subject:

Enter further relevant details regarding your child:

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