Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Son's Name
*
First Name
Last Name
This is a multi-part call. After our initial greeting together, I’ll hear your son's side of things first. Then I’ll hear parent/s perspective. Will all parties be present for the call?
*
Yes, all supporting parties and my son will be present.
I make decisions for my son because he is too young to know what's best for him.
I haven't mentioned it to my son yet. (Reach out to me and ask for help with this.)
On a scale of 1–10, how much of a priority is addressing your son’s current challenges right now?
*
1-4 (it's not really affecting him or us)
5-7 (it's starting to get worse and our concern is growing)
8-10 (it's affecting our family and we're ready to fix it)
Choose Preferred Call Time
Should be Empty: