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    Welcome! We’re so glad you found us.

    Please fill out this brief form, and we’ll get back to you as soon as we can—always within one business day.

    Here’s what to expect:

    • Share a bit about yourself or your child, and your insurance
    • We’ll verify your insurance and contact you to schedule
    • Most families are offered an intake appointment within one week
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  • We're sorry to hear that.

    Unfortunately, we can only offer services in states where our providers are licensed. If you're able to visit one of our locations in PA or VA, please submit this form to connect with a member of our staff to get scheduled.

  • Can you give us some information about yourself?

  • We're sorry, it looks like you are under the age of 13. A legal guardian must complete the form on your behalf.

  • Great! Let's get some more information.

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  • Thank you! Can you tell us a bit more about the provider that referred you?

  • If at any time you wish to come back to us- please don't hesitate to reach out!

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