SENDAN CENTER NEW PATIENT PAPERWORK
Our staff will contact you once we have received the completed intake packet to discuss scheduling and potential wait times. Please note that most of our services are currently on a wait list basis, so completing this paperwork does not guarantee that we will be able to schedule right away.
Before you start: Our providers at Sendan Center work with children and adolescents up to the age of 18. This form is designed to be filled out by the primary caregiver(s) of the child/adolescent for whom you are seeking services. If you are seeking services for someone over the age of 18, we will not likely be able to take them into our care.