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Child Consent Form

Please read and complete the following form accurately so that we can see your child!

Contact Information
Health Information
Is your child recieving any medical treatment at present?
Has your child been hospitalised in the last 12 months?
Does your child have a medical condition, illness, or injury?
Medical conditions - please select if your child has ever had any of the following:
Do you have NDIS Funding?
If yes are you?

Thanks for submitting, our team will be in touch soon!

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