Trafford Webinar Contact Form

Trafford Webinar Contact Form

Contact Details

    Child Date of Birth
    About your child - Diagnosis
    Does your child have a diagnosis of autism?
    Does your child have ADHD?
    Is your child on the diagnostic pathway?
    Does your child have a physical difficulty or disability?
    Does your child have a learning difficulty or disability?
    Does your child have a Social, Emotional, Mental Health difficulty?
    Other diagnosis or difficulties:
    Please tell us about your child - Sleep Difficulties
    My child has difficulty settling to sleep?
    My child wakes up in the night?
    My child has nightmares?
    My child has sleep terrors?
    My child wakes up early in the morning?
    Other sleep difficulty, please specify:
    Webinar - please select which one to attend
    Primary: for parents or carers of children aged 2 to 11 years. Secondary: for parents or carers of children aged 11 to 18 years.
    How did you hear about this service?
    Other reason, please state:
    GDPR: I agree to Sleep and Therapy Services processing my data for the provision of sleep services. Privacy notice is available at the bottom of the website.

    Contact us

    Get in touch

    Working together to transform children’s lives through Sleep and Therapy Services

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    Email Address

    Trafford@sleepandtherapyservices.co.uk

    Email

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    Phone number

    +44 7838110985 (Please get in touch by email as we are not always contactable by phone)

    Phone

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