Please print and complete these forms, then bring them to your child’s first appointment. Your child’s therapist will review this information with you.
Thank you!
Menasha Center & Admin Offices
1205 Province Terrace
Menasha, WI 54952
(920) 886-9319
(920) 486-5340 (fax)
First Presbyterian Church
110 Church Ave
Oshkosh, WI 54901
(920) 235-1678
(920) 886-9357 (fax)
United Methodist Church
709 W. Pine St
New London, WI 54961
(920) 982-7863
(920) 886-9357 (fax)
Immanual United Church of Christ
510 Sullivan Ave
Kaukauna, WI 54130
(920) 886-9319
(920) 886-9357 (fax)