From Distraction to Action© Roundtable RSVP

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Zoom Meeting: on 4/29/21 8:30-9:30pm
Any Questions Call Counseling Services of Long Island (516) 804-0448

Email *

Can you attend? *

Yes, I'll be there

Sorry, can't make it, but I am interested in learning more about ADHD and future offerings.

What are the names of people attending( Full Names)? *

How old is your child/teen/young adult? *

Under 10 years old

11-15

16-18

19 or older

Please select all that apply

I am curious about ADD/ADHD

My child has been diagnosed with ADD/ADHD

I am curious about ADD/ADHD services provided by Counseling Services of Long Island

How did you hear about the Counseling Services of Long Island's Roundtable Info Session on ADD/ADHD? *

Zip Code

Phone Number ( optional)

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