Register

Send your enquiry to book your art therapy session.
Admin will get back to you in 2 working days.

Participant's First Name *

Participant's Last Name *

DOB *

Suburb *

Parent/Carer Email *

Parent/Carer Phone *

Primary disability of the participant:

NDIS Number (if applicable)

NDIS Invoice Item Number (if applicable)

How is the NDIS plan managed? Agency Managed
Plan Managed
Self Managed
I don't have NDIS

Your NDIS goals / What is expected out of this therapy session, Please provide details *

I agree to the terms and conditions.

I give permission to feature photos and art work on social media