Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Please use the following form when requesting communication between school staff, other therapy providers, or medical providers.

Authorization for Release of Information

 

Contact Today



16331 Heritage Place, Suite 101
Eagle River, AK 99577

kellybcba@gmail.com
(907) 350-8893

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