GET STARTED
Start Your Intake
Completing the intake form now helps us learn about your child before our first call, so we can make the most of your free consultation.
About 10 minutesSecure e-signatureSigned copy emailed to you
HOW IT WORKS
Three Steps
- 1
Fill out the form
Tell us about your child, your insurance and your availability.
- 2
Sign electronically
Sign right in your browser through Adobe Acrobat Sign — no printing or scanning.
- 3
We follow up
A member of our team reviews it and reaches out within 24 hours.
BEFORE YOU START
What to Have Handy
Insurance card
Plan name and member ID
Diagnosis info
Evaluation or report, if you have one
Pediatrician
Name and contact information
Weekly availability
Days and times that work for sessions
THE FORM
Complete and Sign Online
Open the Intake Form →
The form opens full screen for easy filling and signing on your phone.
Having trouble with the form above? Open the intake form in a new window, or call us at 305-845-5760.
Questions before you start?
If anything on the form is unclear, call us and we will walk through it with you.