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To request an Intake appointment, please email ADD Coach Services at regina@addcoach.info.

Be sure to include the following:

Your name

If you are a parent requesting services for your child,  your child's name

Date of Birth

Address

Home Phone

Cell Phone

Email address

Diagnosis

Current Medications and doses

Name & contact information for all professionals currently involved (doctors, therapists, etc.)

A synopisis of the current isues

Why you are seeking coaching at this time

Your expectations of the coahcing process