Download Info Form for a Free Coping Consult

Congratulations to You!

I want to salute you for taking this important step to help yourself!  Remember, the better you are, the better your child will be.

Right click below to download my information form:
coping intake form

  1. Simply download the form.
  2. Fill it out.
  3. Save it and email it to me at the address on the form.