top of page
Neuro-Affirming Parenting Consult Intake Form
Is your child receiving any current therapies or interventions (e.g., speech therapy, occupational therapy, behavioral therapy)?
Parenting Challenges & Goals What specific challenges or concerns are you facing in parenting your neurodivergent child? (Please check all that apply)
What are your main goals for this consultation? (Please check all that apply)
How would you describe your parenting style?
Do you have a support system in place (e.g., extended family, therapists, support groups)?

We look forward to working with you and supporting your family in finding the strategies and solutions that work best for you and your child. Please submit this form and proceed to schedule and make a payment to finalize your booking and we will be in touch via to confirm your booking date and time. 

bottom of page