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Thriving Connect (Telehealth)
Please complete the family interview form below to give us a bit of an idea of your child's strengths, challenges and goals.
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Email
*
Your email
Parent/Guardian Name
*
Your answer
Child Name and Age
*
Your answer
Phone number & preferred contact time
Your answer
How did you find out about Thriving?
Health professional or support service referral (please provide details below)
A Thriving family (current or previous)
Recommended/referral from school
Just found you online or when searching for a service!
Other:
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If relevant, please provide details of referral (i.e. who, clinic/service details, reason for referral)
Your answer
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