Get Started. All information are kept confidential. "*" indicates required fields Tick the following signs and symptomsLearning Concerns: Difficulty decoding words or sounding out unfamiliar words. Slow reading speed, frequent errors, poor comprehension. Struggles to understand what he or she has read. Difficulty recognizing common sight words. Messy or illegible handwriting. Difficulty with spelling, grammar, and punctuation. Limited sentence structure and content in writing tasks. Difficulty understanding basic math concepts (addition, subtraction, multiplication, division). Trouble solving math problems, applying math skills to real-world situations. Frequent calculation errors, struggles with timetables and measurements. Finds Chinese words are difficult to write and recall despite consistent practice. Easily distracted, difficulty focusing on tasks for sustained periods. Frequent daydreaming, fidgeting, or blurting out answers impulsively. Difficulty remembering instructions or completing tasks efficiently. Skips words/lines during reading Complains of blur vision Complains of double vision, words “swimming” Weak sustained near attention during reading or homework Certain lighting causes discomfort Experiences eyestrain or headache during or after reading Behavioral Concerns: Constant movement, excessive talking, difficulty sitting still. Easily excitable, restless, and impulsive. Difficulty calming down or settling into activities. Acting without thinking, blurting out answers, interrupting others. Difficulty delaying gratification, taking risks without consideration. Prone to accidents or injuries due to impulsive behavior. Yelling, hitting, biting, or throwing objects when frustrated or angry. Verbally or physically aggressive towards peers or caregivers. Difficulty managing anger appropriately, prone to tantrums. Frequently arguing or refusing to follow rules or instructions. Deliberately disobeying or challenging authority figures. Negative and oppositional attitude towards requests or expectations. Mental Health Concerns: Excessive worry, fear, and nervousness about everyday situations. Physical symptoms like stomachaches, headaches, or difficulty sleeping. Avoidance of certain situations or activities due to anxiety. Low mood, feeling sad or hopeless for extended periods. Loss of interest in activities once enjoyed, changes in appetite or sleep. Negative thoughts about oneself and the future, feeling worthless. Rapid changes in mood, from being happy and energetic to sad and withdrawn. Difficulty regulating emotions, frequent outbursts or irritability. Impact on daily functioning and relationships due to mood swings. Social Skills: Awkward in social situations, struggles to initiate or maintain conversations. Difficulty understanding social cues, appearing withdrawn or disinterested. May become the target of bullying or social exclusion. Being teased, threatened, or physically harmed by other children. Feeling unsafe or isolated at school or in social settings. Experiencing emotional and psychological distress due to bullying. Prefers solitary activities, rarely seeks interaction with others. Difficulty participating in group activities or social events. May have limited understanding of social rules and expectations. Additional Concerns: Difficulty falling asleep, staying asleep, or nightmares. Excessive daytime sleepiness, impacting energy levels and concentration. May disrupt routines and affect overall well-being. Experimentation with cigarettes, alcohol, or other drugs. Changes in behavior, mood, or appearance due to substance use. Potential for addiction and negative consequences on health and development. Please provide more information or express any specific concerns you may have so that we can offer better assistance for your child. (Optional)Child's HistoryBirth History*- premature birth, low birth weight, c-section, assisted delivery, neonatal complications, genetic conditionsNoYesDetails of Birth History*-list the birth history Medical History*- previous illnesses and surgeries, allergies and chronic health conditions, medications currently taken, hospitalizations and any related diagnosesNoYesDetails of Medical History*-list the medical history Developmental Conditions*Has your child been diagnosed with any developmental conditions?NoYesDetails of Developmental Conditions*-provide details of developmental conditions Mental Health Conditions*Has your child been diagnosed with any mental health conditions?NoYesDetails of Mental Health Conditions*-provide details of mental health conditions History of Head Injury*Has your child had a head injury before? Concussions, car accidents, falls at home, bumps on the head that did not warrant medical attention, sports injuries, incidents that involved head traumaNoYesDetails of Head Injury*-provide details of head injury ProfileParent's Name* Contact Number*Child's Name* Age*Supplementary Information (Optional)Max. file size: 256 MB.Please upload reports (e.g. psychological report, medical report) here if you wish to supplement the application with with observations/reports done by other professionals.AvailabilityPreferred Appointment Day(s) I prefer a call first Mon Tue Wed Thu Fri Sat Sun Multiple choices allowedPreferred Appointment Timings Please key in your available timings for the preferred day.Information Use and Consent* By submitting this form, I have read and understood the statements below. I also consent to the collection and use of the submitted information. 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