The purposes of the Case History Form are to:
collect the information required to accurately assess your child’s communication and/or feeding skills, and
collect the information required to contribute to an ethical and evidence-based Treatment Plan for your child.
Please fill out this questionnaire as fully as you can. We appreciate that you have seen multiple specialists in the past who ask similar questions, and it can be repetitive to continue to provide this information. Case history is an important part of your child’s health record, and informs both our diagnosis and Treatment Plan.
The more information you provide us, the better we are able to tailor your appointment to your concerns, and provide an accurate diagnosis quickly.
Please note: you can save your progress and complete the rest of the form later using the link at the bottom of the page.