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Contact Our Care Team
Parent or Caregiver Name
*
Child's Name and Age
*
Email
*
Phone
*
Country of Residence
*
Canada
USA or Other
Province (if in Canada)
What concerns do you need support with (select top 5)
*
Anxiety / Depression
Language Delays and Development
Meltdowns
Sleep
Digestion
Allergies or Food Sensitivities
Picky or Restricted Eating
Challenging Behaviours
Other
Main concerns. What feels most challenging right now?
Do you already have an idea for where you would like to start at NeuroKids?
*
Biomedical / Naturopathic
Counselling and Mental health
Holistic Nutrition
Behaviour Support and Parent Coaching
Not sure? No problem, we will help guide you, please share your thoughts.
How do you prefer to be contacted?
*
Email
Phone - please indicate best time of day
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