Registration Form

  • Dear parent,This form is submitted directly to Lizette Alexander, Occupational Therapist. She will contact you within 24 hours at the times in which you have indicated below.All of our Occupational Therapists are licensed and registered under the College of Occupational Therapists of Ontario. As stipulated by our regulatory body, the information provided in this form will not be used for any other purpose other than setting up an appointment for an assessment, for therapy if applicable, and subsequently billing completed appointments.Our online registration form can be submitted to efficiently set up an appointment for your child. As with any communication over the internet, this form may be intercepted by a third party, therefore, submission of this form indicates that you are aware of this risk.Alternatively, you may telephone us at 647-236-4263 and leave a voice mail indicating when we can return your call.
 

Verification