School-age Child Background Questionnaire

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  • Pregnancy & Birth History

  • Developmental History

  • Social Behaviour

  • Medical Background

  • Family History

  • Educational Background

  • Goals of assessment &/or therapy

  • Assessment Cancellation Policy

    Please tick the boxes below to indicate that you agree to all the terms and conditions.
  • Therapy Cancellation Policy

    Please tick the boxes below to indicate that you agree to all the terms and conditions.