Children's speech therapy

Referral Form

Referral form (PDF, 506KB)


This service provides speech pathology for pre-school children with speech and language difficulties. Reasons for referral may include:

  • Difficulty/delay in using words or forming sentences
  • Difficulty/delay in understanding the meaning of words and sentences
  • Difficulty/delay in using speech sounds (articulation)
  • Difficulty/delay in learning how to interact with others (the social rules of communications)
  • Problems with voice (ie. husky)
  • Stuttering
  • Difficulties with feeding (i.e. fussy/restrictive eating, difficulties transitioning to solids). Please see our Paediatric Feeding Clinic page for more information..

Therapy is provided to children individually or in small groups


Please note: Referrals for children starting school the next year must be received before the 30th of June.

Parents or carers are able to self-refer a child for assessment.  Referrals are also accepted from any professionals involved with the child (such as a Maternal and Child Health Nurse, Kindergarten Teacher), as long as consent from the parent/carer is obtained.

To refer a child, please complete the following form:

Send your completed forms to:

Maroondah Hospital Paediatric Speech Pathology Clinic
24 Grey St, Ringwood East 3135
Or fax to: 9955 1121
Any investigations e.g. hearing assessment should be forwarded with referral.

We are unable to accept referrals for

  • Children who qualify for early intervention services (ECIS / ECEI) or NDIS
  • School aged children
  • Children attending another service


The level of fees payable is dependent on the client’s income and whether the client has a concession card. Current fees (February 2019) are:

  • There is no cost for children from low income families (includes Health Care Card holders),
  • $15 for middle income earners
  • $100 for high income earners.

24 Grey St Ringwood East 3135


P: (03) 9871 3599 F: (03) 9955 1121


9am – 4.30pm, Monday – Friday

Car Parking

Limited parking on site or 2 hour street parking.

Please allow extra time to find a park.