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Center for Health, Learning & Achievement
310 Waymont Ct., Unit 104
Lake Mary, FL 32746
(407) 718-4430
Fax (321) 363-1041
Contact Alicia Braccia
client speaks “I am writing this letter to thank you for your role in my son's excellent health, learning, and achievement. .”
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Forms for the Center for Health, Learning and Achievement

Microsoft Word format
Adobe Acrobat PDF version
Parent Questionnaire (English) Download Parent Questionnaire
Parent Questionnaire (Spanish) Download Parent Questionnaire
Notice of Counseling Privacy Practices Download Counseling Privacy Policy
Notice of Privacy Practices Download Privacy Policy
Neuropsychological Checklist Download Neuropsychological Checklist
Adult Questionnaire Download Adult Questionnaire
Gifted Questionnaire Download Gifted Questionnaire
Social Skills Intake Form Download Social Skills Intake Form
Educator Questionnaire Download Educators Questionnaire
Counseling Intake Form Counseling Intake Form
Counseling Consent for Treatment Form Download Consent To Treat Form
Counseling Authorization To Release Info. Download Auth. To Release Form

You will need Acrobat® Reader to view and print the forms in PDF format. This free software may be downloaded from Adobe.

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Center For Health, Learning and Achievement Copyright 2003-2014.

310 Waymont Ct., Unit 104, Lake Mary, FL 32746 (407) 718-4430 / Fax (321) 363-1041

Contact Alicia Braccia