Contact Page

Social Solutions Contact Form
phone: 845-853-6855
email: socialsolutions7@gmail.com

All information is confidential and used only for group purposes.

* Indicates required field

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