This is the DHS portal for Children's Program.
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Please log in to your dashboard in order to have access to your clients and appointment information as well as to submit patient documentation.
Please send the appropriate completed form(s) below to mwood@childrensprogram.com to make an evaluation request.
If the referral is accepted, you will be contacted via email to begin the scheduling process. Thank you!
Child Evaluation Request (Fillable Form) Adult Evaluation Request (Fillable Form)
NOTE: Fillable forms must be edited in a PDF program or by using the "Print..." and "Save as PDF" destination selections. Please do not hesitate to contact us if you have any problems.
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Check out our Help Page for a walkthrough of the process.
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