Social Solutions for Children with Autism
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Social Solutions Contact Form
phone: 845-853-6855
email: socialsolutions7@gmail.com
All information is confidential and used only for group purposes.
Contact Information
Name
*
First
Last
Phone
*
Email
*
Address/Location
*
Child's Name
*
Child's Age
*
How does your child prefer to communicate?
*
What does your child like to do?
*
What does your child need assistance with?
*
Is there anything in particular your child dislikes?
*
Additional Comments
*
Submit
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