Please answer the questions below as thoroughly as you can. This helps us understand your child’s needs and make sure our practice is the right fit for your family. You’ll hear from us within 5-6 business days. We’re truly looking forward to getting to know you and supporting your child’s healing journey.

You can learn more about each of our physicians here:
​Dr. Peirson       Dr. LaRosa       Dr. Ast

Before completing the application, please take a moment to read our
​Policies and Procedures and What We Do pages.
    If your child has multiple diagnoses from above please select their primary diagnosis and explain more below.
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