New Participant Program Registration


 

  • Group Session: $30
  • Individual Session: $50
  • Home Visits: $60
  • Family Session: $70
  • Group Sessions per month: $100 (includes four sessions)
  • Payments are due 72 hours prior to appointment
  • Services rendered and missed appointments are non-refundable
  • Sliding scale fee are available for those who qualify
  • Services are available either in store or participant’s school or home
  • Group Sessions are 12pm-1pm and 4pm-5pm, Monday-Saturday

To register please fill out the form below:

Participant Full Name*

Date of Birth*

Parent/Guardian Full Name* (if applicable)

Email*

Phone*

Desired Date*

What type of service(s) are you interested in receiving? (e.g. individual, group, family)*

Brief Statement of Concern or Presenting Issues*