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Contact Us
704-799-6824
704-799-6824
Home
Services
ABA Therapy
Occupational Therapy
Speech Therapy
Counseling
Physical Therapy
Psychological Testing
Clinics
Patients
Request an Appointment
Patient Intake Form
FAQ’s
Insurance Providers
Resources
Videos
Facebook
About Us
Our Team
Continuing Education
Job Opportunities
Internship Requests
Clinical Rotations
Testimonials
Forms
Request an Appointment
Patient Intake Form
Make A Payment
Schedule Change Request
All Forms
Formularios en Español
Contact Us
704-799-6824
704-799-6824
Schedule an Initial Evaluation for Your Child |
Request an Appointment Now
704-799-6824
Patient Portal
Home
Services
ABA Therapy
Occupational Therapy
Speech Therapy
Counseling
Physical Therapy
Psychological Testing
Clinics
Patients
Request an Appointment
Patient Intake Form
FAQ’s
Insurance Providers
Resources
Videos
Facebook
About Us
Our Team
Continuing Education
Job Opportunities
Internship Requests
Clinical Rotations
Testimonials
Forms
Request an Appointment
Patient Intake Form
Make A Payment
Schedule Change Request
All Forms
Formularios en Español
Contact Us
704-799-6824
Home
Services
ABA Therapy
Occupational Therapy
Speech Therapy
Counseling
Physical Therapy
Psychological Testing
Clinics
Patients
Request an Appointment
Patient Intake Form
FAQ’s
Insurance Providers
Resources
Videos
Facebook
About Us
Our Team
Continuing Education
Job Opportunities
Internship Requests
Clinical Rotations
Testimonials
Forms
Request an Appointment
Patient Intake Form
Make A Payment
Schedule Change Request
All Forms
Formularios en Español
Contact Us
704-799-6824
Forms
Home
Forms
Forms
New Patient Forms
Request An Appointment Form
Request An Appointment/Solicitar Una Cita - En Español
New Patient Intake Form
New Patient Intake Form - Psychological Testing
New Patient Intake Form - Adult Counseling
New Patient Intake Form/Formulario de Admision de Paciente - En Español
Patient Consent Forms
Consent for ABA Treatment
Consent for Teletherapy
Informed Consent for Psychotherapy
Teletherapy Treatment Plan Consent
Consent for Release of Confidential Health/Mental Health Information
Online Patient Consent Forms and Policy Acknowledgments
Consent for Information Exchange
Consent for Teletherapy en Espanol (Consentimientode Teleterapia)
Other Forms
Online Payment Portal
Request a Permanent Appointment Change
Request a Permanent Appointment Change/Solicitud de Cambio de Horario - en Espanol
Physician Referral Form (for Physicians Only)