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Home
About
Our Team
Our Location
View Clinic
Work at ACM
Services
Appointments
Assessment
Therapy
Therapy
Clinic Therapy
School Therapy
Intensives
Groups
Groups
Early Language Groups
Social Communication Groups
Literacy Skills Groups
School Readiness & High School Success Groups
Group FAQs
Screening
Parent / Educator Talks
Staff Training
Offsite Speech Therapy Services
Groups
Early Language Groups
Social Communication Groups
Literacy Skills Groups
School Readiness & High School Groups
New Clients
Booking Speech Therapy
Book Now
Resources
FAQ
When to Seek Help
Developmental Milestones
Parent Tips & Resources
News
Policies
Attendance & Cancellation Policy
Payment Policy
Privacy Policy
Code of Ethics & Code of Conduct Policy
Funding
Medicare
Private Health Funds
NDIS
Feedback
Client Feedback
Complaints
Book Now
Contact Us
Testing Screening Registration
Complete below to create a screening booking
URL
This field is for validation purposes and should be left unchanged.
New Screening Booking
Please enter your school code
(Required)
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School Name
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Screening Timeframe
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Screening Price
SCHOOL :
SCREENING TIME :
Parent/Guardian's Name
(Required)
First
Last
Contact Email
(Required)
Contact Phone
(Required)
Relationship to child
(Required)
Mother
Father
Legal Guardian
Carer
Name of Child
(Required)
First
Last
Child's Date of Birth
(Required)
Day
Day
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Month
Month
1
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Year
Year
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Child's Classroom Teacher (if known)
Child's primary (main) language
(Required)
English
Other
Child's Gender
(Required)
Male
Female
Gender non binary
Other language
(Required)
Does the child have any diagnoses / medical conditions?
(Required)
No
Yes
If yes, please specify
(Required)
Has the child ever attended Speech Therapy?
(Required)
Yes my child is currently attending speech therapy (please specify details)
Yes my child attended speech therapy in the past, but is not currently accessing speech therapy services (please specify details)
No
If yes, please specify
(Required)
Please tick any areas of concern/difficulty:
(Required)
Speech clarity
Understanding language and instructions
Using vocabulary and sentences
Stuttering
Voice quality
Social skills
Play skills
Feeding/swallowing
Literacy
Behaviour
Attention
I consent for All Communication Matters to screen my child at their school, preschool or day care listed above
(Required)
Yes
No
I consent for All Communication Matters to liaise with the teacher regarding my child’s communication
(Required)
Yes
No
I consent for All Communication Matters to provide screening results to my child’s teacher
(Required)
Yes
No
Appointment
(Required)
I understand that my screening appointment will be booked within time frames agreed with the school and that it will not be confirmed until payment has been processed
(Required)
Reminder
(Required)
I will receive a text message reminder to my above listed mobile two days prior to the screening appointment
(Required)
Advance notice
(Required)
If my child is unwell and/or unable to attend the screener appointment on the agreed date, notice before 8am ONE DAY PRIOR to the appointment is required. If notice is not provided by this time, a $30 missed appointment fee will be charged
(Required)