Child / Adolescent Client Intake PacketChild / Adolescent Client Intake Packet • November 21st, 2020
Contract Type FiledNovember 21st, 2020Is your child currently experiencing anxiety, panic attacks or have any phobias? Yes No If yes, when did your child begin experiencing this?
Child / Adolescent Client Intake PacketChild / Adolescent Client Intake Packet • June 26th, 2019
Contract Type FiledJune 26th, 2019Is your child currently experiencing anxiety, panic attacks or have any phobias? Yes No If yes, when did your child begin experiencing this?