SLN Art Therapy Registration Form

Please review the SLN Clinic Policies before Submitting this Registration Form.
Art Therapy Registration
Questions specific to either CLIENT TYPE will appear after selection. This should be your FIRST selection on this form.

Client History

Suicidal ideation/risk.

SLN Clinic Policies can be found here. (Opens in a new tab).

Please review before completing & submitting this Form.

A copy of the policies will be sent to me for my records.

Thank you for taking the time to fill out our Art Therapy Registration FORM

Thank you for taking the time to fill out our Child Case History Form

Please indicate all that may have contributed to you choosing the Speech Language Network.
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