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Your information is strictly confidential and will not be shared.

EST Kid First & Last Name*

Parent / Guardian First & Last Name, Relation*

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Please tell us about your child*

Diagnosed With:*

Autism

ADHD

ADD

Down Syndrome

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OCD

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CONTACT:
EMAIL: eaglespectrumteam@gmail.com
DIRECT: 916.320.6796

a Texas Non-profit Corporation

Autism ADHD ADD Down Syndrome Spectrum OCD, Eagle Spectrum Team

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