Intake Form For Adoptee LIT, LLC Services

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Hello! My name is Stephanie Oyler and I wanted to give you a brief introduction to myself and the services I provide through Adoptee LIT, LLC. First and foremost, I appreciate you taking the time to reach out for either further guidance or help in relation to adoption. I am a Licensed Master Social Worker and I specialize in the area of adoption and foster care. I am also a transracial adoptee. Through both my extensive professional experience and my lived experience as an adoptee, I bring a unique perspective to the table. I would love to guide and help you through my consultation or mentoring services. If you are an adoptive parent and would like to sign up your minor adopted child for mentoring services, I have a separate form that will need to be signed in order to work with your child.

Please fill out this form completely. This is a requirement before signing up for services. Thank you and I am looking forward to working with you!

Option 1

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Name *

Email *

Phone number *

Address *

Who is filling out this form? *

Adoptive Parent

Hopefully Adoptive Parent

Foster Parent

Transracial Adoptive Parent

Adoptee

Transracial Adoptee

Other:

Tell me a little about yourself and your adoption experience. What made you decide to seek Adoptee LIT, LLC’s services? *

Are there specific areas you would like to focus on? (Ex. Adoption related issues, transracial adoption, parenting, discipline) *

What service are you interested in? *

Consultation

Mentoring

If you chose Consultation services. What consultation package are you interested in? *

30 Minute Consultation Session

One Hour Consultation Session

I did not choose Consultation services. I chose Mentoring services.

If you chose Mentoring services. What mentoring package are you interested in? *

One Time Only 45 Minute Session

Three Week Package with One 45 Minute Session Per Week Included

Six Week Package with One 45 Minute Session Per Week Included

I did not choose Consultation services. I chose Consultation services.

Is there any other pertinent information or concerns you would like to share?

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