Borang Pendaftaran Tempahan OT Ampang (AX – Assessment)

Borang Pendaftaran Tempahan Assessment OT Ampang (Assessment)

– Wajib 2x sesi untuk yang belum pernah ke sesi OT di Nuha Kids
– ⁠Validation Assessment 3 bulan
– ⁠Lepas 3 bulan wajib buat Assessment semula

Step 1 of 3

Maklumat Ibu/Bapa/Penjaga

Maklumat berkaitan pemohon

Nama Ibu Bapa

First

Telefon

Maklumat Anak

Nama Anak

First

Umur

Pernah Ke Sesi Terapi di Nuha Kids?

Tidak

Pendidikan

Bagaimana Tabiat & Fokus Anak

Mencari Program yang bagaimana

Tempahan Program

Pernah Hadir Ke Sesi Assessment di NUHA?

Tidak

Adakah anda pernah menjalani sebarang penilaian (assessment)? Jika tidak, ibu ayah wajib menjalani sesi penilaian (assessment) terlebih dahulu.

Tarikh Akhir Membuat Penilaian (assesment)

This field is hidden when viewing the form

Serviss

This field is hidden when viewing the form

Provider

Booking Calendar

November 2025

Mon	Tue	Wed	Thu	Fri	Sat	Sun
					1	2
3	4	5	6	7	8	9
10	11	12	13	14	15	16
17	18	19	20	21	22	23
24	25	26	27	28	29	30

November 14, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

3:45 PM

5:00 PM

November 15, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

5:00 PM

November 20, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

3:45 PM

5:00 PM

November 21, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

3:45 PM

5:00 PM

November 22, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

5:00 PM

November 27, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

3:45 PM

5:00 PM

November 28, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

3:45 PM

5:00 PM

November 29, 2025

8:30 AM

9:30 AM

10:30 AM

11:30 AM

1:45 PM

2:45 PM

5:00 PM

Booking Cost

RM 0.00

value

Booking product

Jumlah

Discount

RM 0.00

Coupon