About Us
Services for all ages
Independent Practioners
Michelle Kandalaft, PhD
Nichole Lecznar, LPC-Supervisor
Melissa Reid, PhD
George Andrew Hillis, MRC, LPC
Robin Chaney, Psy.D.
Claire Simpson, PhD.
Abigail Bass Bush, MS, NCC, LPC-Intern
Kai – Therapy Dog In-Training
Insurance Guide
Join Us
Evaluations
Evaluations
Evaluation Fees
Therapies
Individual, Parent & Family Therapies
Consultations
School Advocacy
Speech Therapy
Therapy Fees
Social Skills Groups
Social Skills Groups
Social Skills Group Calendar
Social Skills Groups Fees
Client Center
New Client Steps & Intake Forms
Forms
Insurance Information
Young Adult Center
Young Adult Series
ASD Questions
ASD FAQ
ASD Resources + DFW Services
Contact Us
Join Us
Client Intake Form
Social Skills Group Intake Form
Evaluation Intake Form
About Us
Services for all ages
Independent Practioners
Michelle Kandalaft, PhD
Nichole Lecznar, LPC-Supervisor
Melissa Reid, PhD
George Andrew Hillis, MRC, LPC
Robin Chaney, Psy.D.
Claire Simpson, PhD.
Abigail Bass Bush, MS, NCC, LPC-Intern
Kai – Therapy Dog In-Training
Insurance Guide
Join Us
Evaluations
Evaluations
Evaluation Fees
Therapies
Individual, Parent & Family Therapies
Consultations
School Advocacy
Speech Therapy
Therapy Fees
Social Skills Groups
Social Skills Groups
Social Skills Group Calendar
Social Skills Groups Fees
Client Center
New Client Steps & Intake Forms
Forms
Insurance Information
Young Adult Center
Young Adult Series
ASD Questions
ASD FAQ
ASD Resources + DFW Services
Contact Us
Join Us
Client Intake Form
Social Skills Group Intake Form
Evaluation Intake Form
Social Skills Group Intake Form
I have reviewed the information on the Social Skills Group page:
*
I would like more information
I am ready to schedule an initial intake session (Cost: Ages 15 & younger - $75 for 30 minute session. Ages 16 & Older - $120 for 45 minute session.)
Client Name
*
First
Last
Age
*
Please enter a number from
0
to
100
.
Client Gender
*
Male
Female
Name of School or Occupation
Parent or Other Contact Name (If Applicable)
First
Last
Relation to Client (If Applicable)
Phone #
*
Email
*
Check here to receive email updates
Referral Source
*
Which group(s) are you most interested in joining?
Beginner Social Skills (Age 4 to 6)
Social Skills Youth (Ages 7 to 10)
Social Skills Pre-Teen (Ages 11 to 13)
Social Skills Girls Only
Social Skills Teens (Ages 13 to 15)
College and Life Skills (Ages 16 to 19)
Wonder Women (Females Ages 18 to 29)
Young Adult Transitioning Level 1 (Ages 17 to 35)
Young Adult Transitioning Level 2 (Ages 17 to 35)
Adult Group (Ages 25+)
Sibling Group
Parenting Group
Couples Group
Other
Previous Diagnosis (If Applicable)
Is interest in our services in relation to any court-related issues?
*
Yes
No
If parents are separating or divorced, are both parents in agreement to access our services?
*
Yes
No
Not applicable
Additional Comments
Out-of-Network
*
By checking this box, I understand that Spectra Therapies is out-of-network and does not accept any insurance. More information on how to find out about your insurance out-of-network benefits is provided under About Us - Insurance Guide.
Contact us today at 972-985-1100 or click button for online intake
New Client Steps & Intake Forms
