Expression of interest for Hanen More Than Words program

Child's name*

Child's age

Child's disability (please tick all that apply)

If other, please specify

Parent/carer name*

Email*

Phone number*

Availability: Please choose one of the options below*

I am available for the next online program.
I am not available for this program but I would like to register my interest in future programs.

I am available for parent sessions on

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I understand there is a cost to attend the group. I can use my child's NDIS plan to pay for it.

How did you hear about the program?*

If word of mouth, please specify

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Next steps: Please choose one of the options below*

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Child's age*

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Does the child have a diagnosis of autism or other social communication difficulties?*

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Hanen More Than Words Program