Heartsync Registration

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Parent/Caregiver 1

Parent/Caregiver 2

Child

Siblings

please list names and ages of child's siblings

Issues you may want to Address

Does your child have any formal diagnosis from a doctor or clinician? (eg ADHD, Anxiety, ASD etc)

Have you seen any other professionals about this issue? (If so, please list in box)

How did you hear about Adrienne Wood?

I would like to see Adrienne

In Person
Online

Terms and Conditions

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Mailing List

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You should receive confirmation of your Parent Consulting registration shortly. You should also receive an email from me with further details in preparation for your first session. You may need to check your Junk Mail folder. If you do not hear back within two working days, please Contact me.