Interest form for Executive Function Training Group-Fall 2023
Mitchell's Place is offering a executive function training group for children ages 7 to 11 in Fall 2023. This group will be co-led by one of our psychologists, Dr. Gianna Gambera, and one of our occupational therapists, Lauren Comer. It will include specialized intervention to help participants with emotion regulation, planning, flexibility, and problem-solving. Participants must be able to learn in a small group setting. The group will take place from 3:30PM to 5PM on Wednesday afternoons. It will run from September 13 through October 18. The total cost for the group, including a snack and all group materials, will be $400. Insurance will not be billed. If you are interested in participating, please submit this form and a provider will be in contact with more information.
Participant Name
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First Name
Last Name
Participant Date of Birth
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Month
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Day
Year
Date
Parent/Caregiver Name
First Name
Last Name
Contact Number
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E-mail
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Do you have any other questions or comments?
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