Dear Parent or Guardian,
Please make sure you have at least 20 minutes available to complete this form. You will not be able to save your progress.
***Active Military/Veterans: With proof of service, we offer a free evaluation to active duty/veteran families. Please let your therapist know if you qualify.***
Yes, I give consent for communication via text (eg. appointment reminders) and secure email regarding treatment and ongoing care NO, I DO NOT give consent for communication via text (eg. appointment reminders) and secure email regarding treatment and ongoing care.*