Email us

It's great to hear from you by email. We will write back as soon as we can. If you are seeking support, please note that our waiting list is now closed.

intake@blossomtherapy.com.au

Call us

Let's chat about support for your child!

0493 124 605

Visit us

132 Gateway Boulevard, Epping Vic 3076

Appointments are by booking only. Please call us to arrange it.

Referral Form
Thank you for the opportunity for us the support your child. The information you provide will assist us to triage your request.
Please enable JavaScript in your browser to complete this form.
Child's name
If between the years, list the year level your child will be in at the start of the next school year.
Areas of concern
Diagnoses
Service requested
If you are not sure of your child's needs, please choose "Assessment only".
Parent/Guardian Name
Permission & Agreement
I agree for Blossom to contact me via email, phone call or SMS to update me on their services and wait list status.
I understand that offer of places can be done by email, phone call or SMS according to my contact details above. Places are offered to multiple clients and allocation of places is on "first come first served" basis. Blossom is not responsible for not receiving of messages and missing out on allocation.
Submission of the therapy request form does not gurantee a place. Due to a national shortage of therapists, Blossom does not provide estimation of waiting time.