Speech Pathology welcomes new clients

We are now welcoming new families to make appointments with our qualified Speech Pathology team. Complete this form and one of our Client Engagement Team will contact you within 48 hours.

Please note that fields marked with an asterisk (*) are required.

Parent/Carer/Adult first name *

Parent/Carer/Adult last name *

Child first name (if applicable)

Child last name (if applicable)

Email *

Telephone

Are you/your child an existing VisAbility client?

Yes - I am/my child is currently receiving services from VisAbility

No - I am/my child is a new client

Are you/your child an existing VisAbility client?

Yes - I am/my child is currently receiving services from VisAbility

No - I am/my child is a new client

Select your funding preferences (select all that apply)

National Disability Insurance Scheme (NDIS)

Fee for service (self-funded)

NDIS funding application in process (wait for funding approval)

Not yet applied for funding (wait for funding approval)

How can we help?

Would you like to receive occasional VisAbility news and updates via email?

Yes, I'd like to subscribe

Privacy Collection Notice

EverAbility Group Ltd is collecting your personal information so we can respond to your enquiry. You can read more about how we deal with your personal information in our Privacy, Dignity and Confidentiality Policy which you can access via the EverAbility website (link opens in new window).

If you are human, leave this field blank.