FAQs · Northmead

Questions, answered

Answers to the questions families ask us most about our services, bookings and fees, funding, our policies and what therapy is like. Can’t find what you’re looking for? Our client care team is happy to help.

At a glance

The quick answers

Who we seeAges 0–16Speech therapy and OT for children and teens up to 16.
To bookNo referral neededFamilies can self-refer. Some funding pathways need a referral.
Sessions45 minutesPlus 15 minutes of parent capacity building and 20 minutes of notes and planning.
Cancellations48 hours’ noticeTwo business days’ notice is needed to avoid a fee.
About our services

About our services

What we offer, who we see and what to expect when you first come to see us.

What services does The Bridge Effect provide?

We provide speech therapy and occupational therapy for children and adolescents, plus school holiday social groups. Our team delivers warm, evidence-based, play-centred therapy tailored to each child’s developmental needs.

What ages do you work with?

We work with children from birth through to age 16, depending on their goals and needs.

Do I need a referral to book an appointment?

No referral is required. Families can self-refer at any time. Some funding options, such as a GP Chronic Condition Management Plan for a Medicare rebate, do need a referral.

What happens in the first appointment?

Your first appointment is an initial assessment. Your therapist will:

  • Discuss your child’s developmental history
  • Observe play and interaction
  • Conduct relevant screening or assessment tasks
  • Identify key areas of strength and challenge
  • Create an initial therapy plan and goals with you

We always allow time to answer questions and make sure you feel supported.

How long are therapy sessions?

Most therapy sessions run for 45 minutes, plus 15 minutes of parent capacity building and 20 minutes for note-taking, set-up, pack-down and planning. Assessments may take longer.

How often will my child need therapy?

Therapy frequency is based on your child’s goals and needs. Common options include weekly, fortnightly or monthly review sessions. Your therapist will recommend a plan after the initial assessment.

Do parents attend sessions?

Yes. We encourage parents and caregivers to be involved. Parent involvement is one of the strongest predictors of therapy success.

What is the difference between speech therapy and occupational therapy?

Speech therapy (delivered by a speech pathologist) supports a child’s communication, language, speech sounds and, where needed, feeding skills. Occupational therapy (delivered by an occupational therapist) supports the practical skills children need for everyday life: fine motor control, sensory processing, self-care, emotional regulation and school readiness. Many children benefit from both, and our speech pathologists and occupational therapists work closely together on shared goals.

What are some common signs my child may need speech therapy?

Every child develops at their own pace, but signs worth having assessed include limited vocabulary for their age, difficulty being understood by family or unfamiliar listeners, trouble following instructions or understanding language, stuttering, and challenges with social communication or play. You don’t need a diagnosis to book an assessment. If you’re unsure, we’re happy to talk it through. Read more about speech therapy.

What are some common signs my child may need occupational therapy?

Signs can include difficulty with fine motor tasks like holding a pencil or using scissors, sensitivity (or under-sensitivity) to noise, textures or movement, trouble with self-care tasks such as dressing or toileting, difficulty regulating emotions, or struggling to settle into school routines. An OT assessment can help identify what’s going on and how we can help. Read more about occupational therapy.

What are typical speech and language developmental milestones?

As a general guide, most children say their first words around 12 months, have 20–50 words by 18 months, are combining words into short phrases with 200+ words by age 2, and are moving to 3–4 word sentences by age 3. Every child is different and these are guides rather than rules. If your child isn’t tracking close to these milestones, an assessment can help identify whether extra support would help.

Do you support children with autism spectrum disorder (ASD)?

Yes. Our speech pathologists and occupational therapists have experience supporting autistic children and children with social communication and sensory processing needs, using individualised, strengths-based and play-based approaches. See speech therapy for neurodiverse children.

Do you support children with ADHD?

Yes. Our occupational therapists and speech pathologists work with children who have ADHD, supporting areas such as self-regulation, focus, fine motor skills and social communication as part of an individualised therapy plan.

What qualifications do your therapists have?

Our speech pathologists are certified members of Speech Pathology Australia and our occupational therapists are registered with AHPRA (the Australian Health Practitioner Regulation Agency), as required to practise in Australia. Our whole team engages in ongoing professional development. Meet our team.

Why might my child behave differently in therapy sessions compared to at home?

It’s common for children to respond differently in a new environment. Our clinic uses structured routines, visual supports and consistent strategies that help children engage and follow instructions, and we’ll work with you to bring those same strategies into your home routines so progress carries over.

Bookings & fees

Bookings, fees & funding

How to book, what it costs and how NDIS, Medicare and private health insurance can help.

How do I book an appointment?

You can submit an enquiry form on our website, call our team on (02) 9037 1163, or email our admin team. We’ll guide you through availability and next steps.

What are your fees?

Our fees are aligned with industry standards for paediatric therapy. Fee information is provided upon enquiry.

Do you offer Medicare rebates?

Yes. Medicare rebates may apply if your child has an eligible referral, such as a GP Chronic Condition Management Plan or a referral under the complex neurodevelopmental (Item 135) pathway. Medicare rebates don’t cover the full session fee. Our Medicare page explains each pathway.

Do you accept private health rebates?

Yes, if your extras cover includes speech therapy or occupational therapy. Rebate amounts vary by insurer. See private health insurance.

Which NDIS plans can I use with The Bridge Effect?

The Bridge Effect supports NDIS self-managed and plan-managed families. If your child’s plan is NDIA-managed, please talk to us before you book and we’ll go through your options. Our NDIS funding page has more detail.

What is Capacity Building funding under the NDIS, and does it cover speech therapy or occupational therapy?

Capacity Building is an NDIS funding category designed to help participants build skills and independence. Speech therapy and occupational therapy are typically funded under Capacity Building – Improved Daily Living. If your child’s plan includes this funding, we can work within a self-managed or plan-managed plan. Speak with your plan manager or support coordinator if you’re unsure what your plan covers.

What’s the difference between NDIS self-managed, plan-managed and NDIA-managed, and why does it matter?

Self-managed means your family pays providers directly and claims back from the NDIS. Plan-managed means a plan manager pays providers and manages claims on your behalf. NDIA-managed (agency-managed) means the NDIA pays providers directly. The Bridge Effect supports NDIS self-managed and plan-managed families, so if your child’s plan is NDIA-managed, please call us before you book. If you’re not sure how your plan is managed, your support coordinator or plan manager can confirm this for you.

Can you provide reports for NDIS plan reviews or my child’s school?

Yes. Our therapists can prepare progress reports and, with your consent, share updates and strategies with your child’s school or support coordinator to help inform NDIS plan reviews. Just let your therapist know what you need and we’ll guide you through the process.

Attendance & policies

Attendance & policies

Our cancellation and illness policies, and our school holiday social groups.

What is your cancellation policy?

We require a minimum of 48 hours’ (2 business days) notice. Cancellations with less than 48 hours’ notice may incur a fee, as your appointment time is reserved exclusively for your child.

What if my child is sick?

If your child is unwell, please reschedule as soon as possible. We do not see children who have had any of the following within the previous 24 hours:

  • Fever
  • Vomiting or diarrhoea
  • A confirmed contagious illness

If we can reschedule you during the same week (Monday to Friday), you won’t incur a cancellation fee.

Do you run school holiday programs?

Yes. Our school holiday social groups are small-group sessions designed to build on therapy goals in a fun, engaging format. Enquire with our team to find out what’s on offer and availability for the upcoming holidays.

Therapy experience

What therapy is like

How sessions work, how you’ll see progress and how we work with your child’s school.

Are therapy sessions play-based?

Yes. Our therapy integrates play, connection and evidence-based techniques. Children learn best when they feel safe, supported and engaged.

How will I know if therapy is working?

Your therapist will:

  • Review goals regularly
  • Provide ongoing feedback
  • Share progress summaries
  • Communicate with teachers or other professionals (with your consent)
Can you collaborate with my child’s school?

Absolutely. With your permission, we can:

  • Provide teacher recommendations
  • Attend school meetings
  • Share reports and strategies
  • Support transition planning

Collaboration ensures consistent support across settings.

Can occupational therapy help with handwriting, fine motor skills or sensory sensitivities?

Yes. These are some of the most common areas our occupational therapists support, alongside school readiness, emotional regulation and self-care skills like dressing and toileting. See fine motor and handwriting support and sensory processing.

Can speech therapy help non-speaking children communicate (AAC)?

Yes. Our speech pathologists support children who are non-speaking or minimally verbal using Augmentative and Alternative Communication (AAC), including visual supports, sign and speech-generating devices, tailored to your child’s needs and goals.

Should I wait until after ear infections or grommets clear up before starting speech therapy?

No, you don’t need to wait. While conditions like glue ear can affect hearing and sound discrimination, underlying speech and language difficulties usually don’t resolve on their own once the ear issue is treated. Starting therapy early means your child doesn’t lose valuable time, and your therapist can adjust the approach as any hearing issues are managed.

Will my child’s communication or motor skills naturally catch up once they start school?

Not usually. Difficulties present before school typically continue into the classroom without support. Starting therapy earlier gives your child the best chance to build the skills they need to learn, socialise and thrive once school begins.

Other questions

Other common questions

Location, parking, the suburbs we serve and how long therapy usually takes.

Do you have a waitlist?

Availability changes from week to week. We offer cancellation spots and will do our best to accommodate your preferred days and times. Get in touch for current availability.

Where are you located?

Our purpose-built therapy clinic is at 7/185 Briens Road, Northmead NSW 2152. See how to find us.

Is parking available?

Yes. Families have access to onsite or nearby parking.

What should my child bring to sessions?

Nothing is required. If relevant, please bring:

  • Reports from previous therapists
  • School notes
  • Any concerns you’d like to discuss
What suburbs and areas does The Bridge Effect service?

We’re based in Northmead and support families across Parramatta and the wider Western Sydney and Hills District region, including Westmead, Wentworthville, Granville, Baulkham Hills, Castle Hill, Merrylands and more. See our Areas We Serve page for the complete list.

How long will my child need therapy for?

This varies from child to child and depends on their goals, how many areas we’re working on, session frequency and how much practice happens between sessions. Your therapist will review progress regularly and let you know how things are tracking.

Explore more

Where to next?

Speech therapy and occupational therapy under one roof at our Northmead clinic.

Speech Therapy

Support with talking, understanding, speech sounds, social communication and AAC for children and teens up to 16.

Occupational Therapy

Support with sensory processing, fine motor skills, self-care, emotional regulation and school readiness.

Funding options

How NDIS, Medicare and private health insurance can help with the cost of therapy.

Want to read more? Visit our blog for practical guides from our clinicians.

Get started

Still have a question?

Our client care team is happy to talk it through, whether you’re ready to book or just exploring your options.

  1. Get in touch

    Send an enquiry or call us with your question and a little about your child.

  2. We talk it through

    We’ll explain availability, fees and the funding that may apply.

  3. Book your first appointment

    When you’re ready, we book an initial assessment at our Northmead clinic.