Register for an Assessment — Adelaide Child Psychology

Once we have received your form, we will be in contact to discuss the next steps.

Your Name

First Name

Last Name

Child's Name

Child's Date of Birth (or Age)

Email

Phone Number

Which type of assessment are you interested in?

(i.e. Autism, cognitive, psychoeducational, ADHD)

Please tell us a little bit about your concerns.

Any other information we should know in order to assist you.