Social Groups Application for New Clients

Address line, City, Province, Postal code
* Please note that your chances of gaining a placement directly relate to your availability! If your child is home-schooled, attends college, or has a flexible schedule, please note this as it will also increase your chances of obtaining individual treatment spots that would otherwise not be filled.
* Please note increased flexibility will allow us more options to find the best fit for your child in terms of group.
Please write a brief letter describing your child. We know your child is unique. Please provide us with a letter outlining your child’s strengths and difficulties. For example, you could include info about some or all of the following skills: -Typical interactions with peers look like… - Friendships -Self-confidence -Language capabilities -Motivation to please others -Awareness of their difficulties -Organizational skills -Being part of large or small groups -Problem solving -Manipulation (by them, or by others) -Etc.

* Please note, we cannot guarantee the confidentiality of information transmitted through e-mail including the intake form.  Please be aware of this limitation when contacting us.

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