Book Now - Occupational Therapy | Aster Health Group

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Please complete the following form to book an appointment with one of our occupational therapists.

If you need assistance, have any queries, or would prefer to speak with us over the phone, please use out contact details below.

Client First Name*

Client Last Name*

Client Birthday*

Day

Month

Year

Client Address*

Contact Phone*

Contact Email*

Contact Person Name & Relation to Client (if different from client)

*E.g. parent or support coordinator name

Referred by*

Referrer Phone*

Referrer Email*

Who should we contact to arrange an appointment?*

Client (or Client Parent)

Referrer

Other

Preferred Location for Appointments

Clinic at East Victoria Park

Client Home

Client School

Other

*Can select multiple options

Please state preference for one of our occupational therapists, if any

Client Presentation & Reason for Appointment*

Please select payment type*

NDIS Participant Funding

Private Health Cover

Private Patient without Rebate

Other

If you are seeking services as an NDIS participant, are you either

Plan-managed

Self-Managed

*Please note we cannot currently service NDIA managed participants

If Plan-managed, please provide details of plan manager

NDIS Number, if applicable

Amount of funding/sessions available for NDIS participant, if known

I understand that Aster Health Group is a private billing practice and that the practice fees (and rebates) will apply as outlined in the Fees section on our website. Please note: We do not currently offer any bulk-billed appointments.*

Yes

874 Albany Highway

East Victoria Park, WA 6101

0461 431 456

admin@asterhealthgroup.com

Need Urgent Help?

This website should not be used in emergency situations as it is not monitored at all times. If you need immediate assistance, please contact Lifeline at 13 11 14 for 24/7 Crisis Support.

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