Want to get tailored, specific advice related to YOUR case? 

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This intake form is designed to ask about your child's/learner's strengths, challenges, preferences, and your goals for them. Filling it out helps me get a clearer picture of how I can support you.

Complete this form to help me understand how to provide you a more tailored behavioral service experience with me! 
I will review any new submissions within 1-3 business days.