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Child Centred Play Therapy (CCPT)
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Child Parent Relationship Therapy (CPRT)
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Child Development Sessions
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Developmental Assessments
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Parent/Guardian Support and Consultation Services
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Art Therapy
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Child & Adolescent Counselling (Ages 5-18)
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Parent Counselling
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Referral Form
WeTransfer Consent Form for Video Uploads
Parent/Guardian Name
Child’s Full Name
Therapist name:
Millie Evans
Date
Signature of parent/guardian
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