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Initial Contact Form

Are you new to SPOT and would like to make a first enquiry about accessing our services?

Background Form

If we have asked you to fill in the background form for your child’s treatment, please do so here.

Consent Form

If we have asked you to fill in a consent form for your child’s treatment, please do so here.

Post Assessment Form

Please let us know how it went for you and your child, we deeply value the feedback.

Make an Appointment

Call and speak to our front of house staff on (852) 2807 2992 or fill in the quick enquiry form below and a therapist will call you back.

Child's Full Name*
First Name Middle SURNAME
Chinese Name
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
- Male
- Female
Name of School Attending
Primary Caregiver Name*
First Last
Relationship*
Phone number*
Email*
Service(s) requested:*
- Speech & Language Therapy
- Occupational Therapy
- Physiotherapy
- Clinical Psychology
- Counselling
- Specific Learning Differences/ Education Ax
- DIRFloortime
- Sensory Integration
- Feeding Therapy
- Unknown
Reason for referral/ what challenges is your child having?
Which location suits you best?*
- One Island South - Wong Chuk Hang
- Central
- Discovery Bay
- No Preference
How did you find out about SPOT?*
- Website/ Internet
- Facebook/Instagram
- Friend
- Teacher
- Doctor/Professional Referral
Which Doctor?
Facebook Live Code
I would like to receive information on parent courses, child groups and the monthly e-newsletter from SPOT
- Yes
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SPOT Central

17/F Wings Building
110-116 Queens Road
Central
Hong Kong

(852) 2807 3223

SPOT South Island

1021-1025
One Island South
2 Heung Yip Road
Wong Chuk Hang
Hong Kong Island

(852) 2807 2992

SPOT Discovery Bay

Flat 604
South DB Plaza (Block A)
Discovery Bay
Lantau Island

(852) 2807 2992

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