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Completing an intake questionnaire is not required, but it can be very helpful.  The questionnaires are confidential. They help save time during sessions by providing information that I would otherwise need to ask about.  Complete only as much as you feel comfortable. 


The child/adolescent questionnaire is designed for parents or caregivers to state their concerns and provide historical and developmental information about a child, teenager or young adult.

You can return your questionnaire by scan and email (to, mailing or delivering it to the clinic or bringing it to your first session.

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