Secure ANZ Payments

About this form:

This form is provided so that you can send payment for any outstanding invoices directly to Okey Dokey Childhood Psychology.

All form details are sent securely encrypted and your credit card details are not stored on this website or available to any Okey Dokey staff.

Please note: All payment remittances will state Okey Dokey Childhood Psychology as Veridon Pty Ltd.

Child's Name*
First
Email*
Invoice Number*
Payment Amount:*
Total
$ 0.00
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Comments
This field is for validation purposes and should be left unchanged.

Group Booking Form

To get started, select your Child's year level*
Select the group you'd like to book in for (P-3):*
- Desserts & Decorations P-3 Group (3 sessions)
  Mon 27 - Wed 29 June 2022 running from 9:30-11am each day at our 6A building
- Board & Card Games P-3 Group (3 sessions)
  Mon 27 - Wed 29 June 2022 running from 3-4:30pm each day at our 6A building
Select the group you'd like to book in for (4-6):*
There are no options available for this field.
Select the group you'd like to book in for (7-10):*
- Dungeons and Dragons 7-10 Group (3 sessions)
  Wed 29 June - Fri 1 July 2022 running from 1.30-3pm each day at our 7B building
Your Full Name*
First
Your Child's Full Name*
First
Child's Gender*
Has your child accessed any service at Okey Dokey within the last 12 months?*
- Yes
- No
If No, we will send an additional email for you to fill in our T&C and Privacy documents online.
Which clinicians does your child see at Okey Dokey?*
Does your child have a formal diagnosis? If yes, please list.*
Please describe any challenges your child experiences that may impact on their participation in the group (e.g. emotional regulation difficulties, fine motor difficulties, hitting out when angry).
What works best to support your child if they become distressed or dysregulated? (e.g. going to a quiet space for a break, taking a short walk, using sensory toys, having a drink of water).
Your Child's date of birth*

Day
Month
Year
Your Mobile*
Your Email*
Your Address*
Street Address Address Line 2 Suburb State Postcode
Does your child have any allergies? If yes, please list.*
Group Program*
Price:
Total payable today
$ 0.00
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.