["I'm applying on BEHALF of someone who would like to participate","Parent","","Lauren","","Van Herk","","0466270337","laurengracevanherk@gmail.com","My son's current OT referred Dominic to your program, he has Autism Spectrum Disorder and ADHD. Dominic is very social however struggles socialising with others and self regulating. Dominic has been interested in joining an extra curriculum however, lacks interest and gross\/ fine motor skills to play sports. When our OT recommended opentrax Dominic was extremely interested in the programs.","NDIS","","","430704470","","RIDES\u00a9","SKILLS-TRAX\u00a9","Beginner Rider","","","Yes","","","","","Own Bike","Dominic learned to ride a bike later than most children at the age of 7\/7 and a half, however, is a good rider.","","","","","","Dominic","","Van Herk","","laurengracevanherk@gmail.com","2014-01-01","0466270337","9","1\/54 Stanford Avenue","","Varsity Lakes","QLD","4227","Australia","ASD and ADHD","Dominic has found he doesn't find interest in ball games or other sports. Dominic is very interested in fitness and enjoys riding his bike. Dominic's OT recommended if interested joining your program. Dominic has been in therapies for many years however is looking for more support. Dominic also finds major benefits from being outdoors.","The goal would be for Dominic to gain a new skill and confidence with his riding. To gain more knowledge and strategies from another OT on self-regulation, socializing, and self-awareness. Dominic can be quick to anger so we are hoping an avenue like this program would benefit Dom with the daily frustrations he may be dealing with.","Yes","Ritalin- Taken in the morning and at midday. Dominic takes this medication every day he attends school as he believes it benefits him. Dominic doesn't take this medication on weekends as that's his choice. This medication can make Dominic nervous (side effect), so on days when Dominic has an opentrax session we will organize to not have his medication, as we want him to feel confident in these sessions.\r\n\r\nClonidine- At night, 30 mins before bed, to reduce anxiety around falling asleep.","No","","134","32","Medium","","Lauren","","Van Herk","","Mother","0466270337","","","Psychology Report","Psychiatrist Report","Occupational Therapy Report","","Speech Therapy Report","","","","","","","","","","","","","Plan Managed (External company eg. Leap-In, Connect)","2022-10-10","2023-10-10","NDSP","invoices@ndsp.com.au","1800636377","Capacity Building | Improved Daily Living","","","","","","","","","","","","","","","","","","","","","","","Tuesday","Wednesday","","Friday","","","","Early Afternoon - approx 1pm-3pm","Early Afternoon - approx 1pm-3pm","","Early Morning - approx 5am-8am","","","Yes","Pick Up","1\/54 Stanford Avenue","","Varsity Lakes","QLD","4227","Australia","Participant \/ representative has read (or had clearly explained), understands and agrees to the Privacy Policy","Participant \/ representative has read (or had clearly explained), understands and agrees to the Terms and Conditions","I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.","Participant \/ representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability","https:\/\/opentrax.com.au\/index.php?gf-signature=642296b0c583a6.21020726&form-id=30&field-id=104&hash=65fd3bfb21781ef7c266d33e504f8984114b6478a2e7b09f2062bc79ea845232","","Lauren","","Van Herk","","2023-03-28","","1942","2023-03-28 17:26:40","2023-03-28 07:26:40","https:\/\/opentrax.com.au\/wp-admin\/admin-ajax.php","","","","","","Mozilla\/5.0 (Macintosh; Intel Mac OS X 10_15_7) AppleWebKit\/605.1.15 (KHTML, like Gecko) Version\/16.1 Safari\/605.1.15","120.153.32.246","","","","","","","","a733e621dbba416386e7120451a87ed4","68","96","","","","","","","","","","","","","","","","","0","0","0","0","0","0","0","0","0","0","0","","","https:\/\/opentrax.com.au\/pdf\/62df3eed4e57c\/1942\/","2023-03-28 07:26:40"]