Let’s work togetherTo schedule a free 20-minute consultation, please call (212) 627-4545 or complete this questionnaire: Name * First Name Last Name Child's Name First Name Last Name Child's Age * Child / Pre-School - Elementary & Below Young Adult - Middle School & Up Email * Phone * (###) ### #### What services are you interested in? * Evaluations Treatment Intensive Courses Preferred Date MM DD YYYY Preferred Call Time Hour Minute Second AM PM Message Thank you! Janice will be in touch shortly.