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Long Island Clinic Services
Refer A Child
Long Island Clinic Services
Child's first/last name:
*
Phone Number:
*
Email
Parent's Name:
*
I am interested in my child participating in the following:
Daily 1:1 ABA sessions in the clinic (can split ABA between home and clinic locations)
Weekly Social Skills Group from 3-5pm or 5-7pm week of 7/8, 7/15, 7/22, 7/29
Weekly Social Skills Group from 3-5pm or 5-7pm week of 8/6, 8/13, 8/20, 8/27
Weekly Social Skills Groups in Fall 2019
Submit