Please answer the questions below as thoroughly as possible. For your sake, we want to ensure that you're ready to work with us and that your child is the right fit for our practice. You will hear from us within 5-6 business days. We look forward to getting to know you and helping you and your child on their healing journey.

Please read the Policies and Procedures and What We Do page before completing these questions.  
    If your child has multiple diagnoses from above please select their primary diagnosis and explain more below.
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