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Autism & ADHD Evaluation Interest Form
Thank you for your interest in evaluation services at Cedar Counseling & Wellness! Please fill out the following information. We will email you to schedule a consultation.
Please note that Cedar Counseling & Wellness is
not
in network with insurance, though we do provide Superbills that you can submit to your insurance company to access out-of-network benefits. For questions regarding fees, navigate
here
.
If you have additional questions, please contact us at (443) 924-6344 or
info@cedarcounselingandwellness.com
* Indica que la pregunta es obligatoria
Name (First and Last)
*
Tu respuesta
Email Address
*
Tu respuesta
Phone Number
*
Tu respuesta
What type of evaluation are you interested in?
*
Autism
ADHD
Both Autism and ADHD
Obligatoria
What age is the individual who will be evaluated?
*
Child/Adolescent (6-17)
Adult (18+)
Do you prefer virtual or in-person services?
In-person -- Cedar Counseling & Wellness is located in Annapolis, Maryland.
Virtual -- Due to licensing regulations, clients must be physically located in Maryland during virtual sessions.
No preference
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