Speech-language Therapy Clinic and Workshop Payment Form

Use this form to pay for all Speech-language Therapy sessions and workshops by credit card

First Name:

first name(s)

last name

Email:

(e.g. jo@mail.com)
Your payment receipt will be sent to this email.

Postal Address 1:

Postal Address 2:

Postal Address 3:

Postal Town/City:

Postal State:

Postal Code:

Postal Country:

Patient Name and Consult Date:

Cervical Auscultation Course Registration

Register and payment to attend Cervical Auscultation in Pediatric Dysphagia 2-day workshop.

Not required

Quantity (max 1)

Cervical Auscultation in Pediatric Dysphagia 2-day workshop. - NZ $ 777.00

Two Day registration 24-25 October 2024

Individual Clinic Sessions

Please select the services you have been provided.

You must select one only

Not required

Quantity (max 10)

Individual Session - NZ $ 35.00

50 minutes

Quantity (max 10)

Community Services Card Holder - NZ $ 22.00

50 minutes

Quantity (max 10)

Senior Citizen - NZ $ 18.00

50 minutes

Enter Amount($):e.g. 23.50

Other Services/Products

Enter amount given via email (e.g. $25.00)

ACTIVEating Costs

Please select the services you have been provided.

Quantity (max 12)

Individual or Small Group Therapy - NZ $ 35.00

8-12 sessions

Quantity (max 12)

Community Service Card Holders - NZ $ 22.00

8-12 sessions

Quantity (max 1)

One-off Food Fee - NZ $ 90.00

Must be paid at start

Quantity (max 5)

Dietitian Consultation - NZ $ 35.00

Full fee

Quantity (max 5)

Dietitian Consultation - CSC - NZ $ 22.00

With Community Services Card

Stuttering Clinic Costs

Please select the services you have been provided.

You must select one only

Not required

Quantity (max 5)

Full Session - NZ $ 60.00

60 minutes

Quantity (max 5)

Half Session - NZ $ 30.00

30 minutes

All payments are in New Zealand Dollars (NZD) and include GST

For help and enquiries, please contact:

For further help or enquiries, please contact SLTClinic@massey.ac.nz or call +64 9 414 0800 extension 43788.

Page authorised by Web Content Manager
Last updated on Monday 04 September 2023