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Services & Specialties
Autism spectrum, ADHD, & other disorders
Trauma Therapy & EMDR
Sand tray & Play-based Interventions
Couples Therapy
Individual Therapy
Child & Adolescent
Family Therapy
Parenting
For Clients
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Document Upload
Name of the Child
First Name
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Last Name
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Name of Parent/Primary Caregiver
First Name
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Last Name
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Parent/Primary Caregiver Phone #
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Parent/Primary Caregiver Email Address
*
Insurance Card 1
Front of Insurance Card #1
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Back of Insurance Card #1
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Child's Birth Certificate
Front of Document #2
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Back of Document #2
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Child's Social Security Card
Front of Card #3
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Back of Card #3
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