Academic Support & Connection (ASC) Registration Form

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Dr. Marilyn Franklin, MSW, PhD, LP

Specialties: Psychological Assessment & Testing

Dr. Julie Braciszewski, PhD, LP

Specialties: Child, Adolescent, Adult, Family & Couples Therapy Psychological Evaluation Expert

Dr. Jordan Braciszewski, PhD, LP

Specialties: Adult Therapy, Group Therapy.

Dr. Amy Loree, PhD, LP

Specialties: Adult & Adolescent Therapy, Group Therapy

Alyssa Hedke, MA, TLLP

Child, Adolescent & Family Therapy, School Consultation and Advocate

Jessica Hauser-Harrington, PhD, LP

Child, Adolescent, Adult and Family Therapy, Group Therapy, Psycho-Educational Assessment

Jessi Beatty, PhD

Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing and Acceptance, and Commitment Therapy.

Darren Jones, PhD, LP

Specialties: Adult & Adolescent Therapy, Couples Therapy: Anxiety & Depression, Trauma, Chronic Health/Pain Issues, ADHD, Divorce, Support for Medical Professionals

Rachel Smail-Crevier, MA, TLLP

Specialties: Child, Adolescent & Adult Therapy, Psychological Evaluation: ADHD, Anxiety/Depression, Emotional & Behavioral Challenges, Learning Disabilities, Autism Spectrum Disorder

Jill Wasserman, MA, LPC

Specialties: Counseling for adults, children, teens, and families. Anxiety, Depression, ADHD, Behavioral Problems, OCD, Relationship Conflict. Additional Specialization in Treatment of Addictions.

Sarah Engles, BA

Clinical Interests: Child and adolescent anxiety and mood disorders, emotional and behavioral dysregulation, interpersonal skills building, child and adolescent ASD, trauma, and LGBTQIA+ experiences

Bismah Khan, MA, LLP

Specialties: Therapy and Assessment with all ages. Anxiety, Depression, OCD, ADHD, Trauma Specialist, Affirming LGBTQIA Care, Complex Family Conflict and Dynamics, Eating Disorder, Couple’s Therapy, Child Behavioral Issues

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Forms

Before our first session, kindly take some time to print & fill out relevant forms as well as you can.

Age 18 and under Intake Age 18 and over Intake Payment Authorization Form