Unless the patient has already been assessed by a suitable therapist, and you are able to share with us a set of current targets or an assessment report written within the last 6 months, an initial assessment is the first step. This would last approximately 1 hour and would be comprehensive. Afterwards, you would be given feedback, targets, strategies to achieve these targets, and, if you have opted for one, a formal written report. Reports are generally requested if the findings need to be shared with other professionals (e.g. the NHS, nursery, school, etc.).