Sign Up Form for Parents

Thank you for your interest in the programs available here at The Institutes.

Our program will provide you with the needed information on how to evaluate and diagnose your child and then how to design an intensive neurological stimulation program. You will be able to work with our clinical staff for guidance and help. Please fill out the form below and one of our staff will contact you for questions and registration. Please feel free to provide us with as much information as you would like so that we can do our best to understand and help you and your child.