The Yellin Center for Mind, Brain, and Education
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Medication Management - Psychopharmacology
Consultation
Ongoing Support
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Contact
Contact Us
Appointment Request Form
Home
About Us
Our Approach
Clinical Team
Administrative Team
Services
Assessments
Medication Management - Psychopharmacology
Consultation
Ongoing Support
Book Club
Professional Development
Contact
Contact Us
Appointment Request Form
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YOUR CART
Workshop Registration
*
Indicates required field
Parent Name
*
First
Last
Phone Number
*
Email
*
Student's Current Grade Level
*
I would like my child to attend:
*
Morning session
Afternoon session
Preferred Method of Contact
*
Email
Phone
Text
You will be contacted by a member of our team within one business day of your form submission to obtain additional information and take payment.
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