Client Contact Form
Please complete this form if your child is an existing ChanceLight® client or you have already completed a New Client Intake Form and would like to communicate with us about your child’s needs, including:
- Status of intake
- Waitlist status
- Scheduling
- Billing
- Your child’s therapy team
We will respond to you within two business days to discuss your needs.
The information you provide to ChanceLight® is private and secure, and ChanceLight® will never share your personal information with third parties.
