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Support Designed Around Your Child

At PlayThinks, we believe every child learns and grows differently. This intake form helps our team better understand your child’s unique needs so we can recommend the most supportive next steps for your family.

Contact Information

Child's Information

Child's Date of Birth
Month
Day
Year

Services Requested

Please select which service(s) you are interested in:

Insurance Provider

Please select your insurance provider:

Eligibility Acknowledgement

PlayThinks programs are designed for families who are looking for a Jewish environment, where Jewish values, culture, holidays, language, and community norms are part of the experience. Is this the type of setting you are looking for?
Yes
No
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