Online Referral/Booking Form

Thank you for considering Living to the Max for your occupational therapy needs. We offer two methods for requesting occupational therapy services.

Option 1: The preferred and most secure method is to complete our online referral/booking form below.

Option 2: You can use our downloadable PDF form and send via fax or email. The PDF form can be accessed here or, for NDIS participants, you can access here. Please print out the PDF form, complete, and either fax to (08) 8331 0277 or email to