Contact Kids CounsellingPh: 0430 164 977Mission House92 Brighton RdSandgate QLD 4017 Parent's Name * First Name Last Name Child's Name * First Name Last Name Child's Date of Birth MM DD YYYY Email * I'm interested in help with my child's experience of... Autism Spectrum Disorder Sleeping disturbance, night terrors, nocturnal enuresis Separation anxiety A phobia that my child suffers from Bullying/friendship difficulties/social anxiety Behavioural problems/anger management Parental separation/divorce Being in relationship with someone with addiction and/or abuse Grief and loss Self esteem issues Trauma Childhood depression ADHD Stress, worry, generalised anxiety Other Message * Phone * (###) ### #### Please add my child to your wait list Yes please! No thank you. Please call me or respond to my email instead. Thank you! One of our therapists will be in touch with you shortly.Kind regards,Yanna 😊
