Welcome
Welcome to Behavioral Pediatric & Family Therapy Program!
We are a group of independent professionals providing psychological services to children, adolescents, and adults. Our professionals have a wide range of expertise and areas of interest to help assist you and your family.
If you are interested in becoming a new patient, complete the following form to start the intake process. Completing this form DOES NOT guarantee that you will be accepted as a patient in our clinic. It is simply the first step of the intake process.
Initial Intake Form (CHILD PATIENT) -OR- Initial Intake Form (ADULT PATIENT)
*Be sure to respond to ALL questions*
Usually within a week of receiving the completed form, one of our staff members will contact you.