Use the link below to fill out our detailed intake. We need this information for your child's Therapy Department file.  The form is HIPAA compliant and routes directly to me.

Please call or email your Support Coordinator and ask him or her to 1. Authorize the requested services to A Brighter Avenue and 2. Send a copy of your child's ISP to A Brighter Avenue's Therapy Department. They can send it directly to me using the contact info listed below.

Let me know if you have a new address, new phone number, a change in insurance or something that affects  your schedule... Anything that would be helpful for me and your therapist(s) to know!