Interested in any of our programs or services? Fill out the form below to contact our team! Step 1 of 3 33% Contact InformationYour Name* First Last Email PhoneHow do you prefer we contact you?*by emailby phonephone and/or email Program InterestWhich of our offered services are you interested in?Consultation ServicesHome Based Early InterventionDaycare Based Early InterventionCentre Based Early InterventionOver 6 Social GroupsOver 6 Individual SessionsRespite ServicesWhat type of consultation are you interested in?Behaviour ConsultationSchool ConsultationWhat days of the week work best for sessions?MondayTuesdayWednesdayThursdayFridayWhat days of the week work best for daycare sessions?MondayTuesdayWednesdayThursdayFridayWhat days of the week work best for Centre Based Early Intervention?MondayTuesdayWednesdayThursdayFridayWhat days of the week are you looking for respite care?MondayTuesdayWednesdayThursdayFridaySaturdayWould you be willing to host another child and BI for a play group in your home?YesNoUnsureWould you prefer morning or afternoon sessions?MorningAfternoonCombination Information about ChildChild's Name First Last Do you have more than one child you are interested in enrolling?NoYesChild's Name First Last What are some of your child's interests and strengths?What are some things your child struggles with?
