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To contact Joe Newman directly, please use the form at right and include your primary concerns.

General Request for Information

Name

First Name

Last Name

Email Address

Phone Number

If You are a Parent or Guardian

Child's Name

First Name

Last Name

Child's Birth Date

YYYY

Background Information

Please list any background information that would be helpful, such as a current diagnosis or mediations.

Past or Current Care

Please list any other professionals you've seen or are seeing for evaluation or learning / behavior issues.

Primary Concerns

Please list the primary concerns that you feel are affecting your household or classroom.

If you are an Educator

Name of School or Organization

Position at School or Organization