Please note that you do not automatically become a client by submitting this form. After receiving your completed form, the LITC will contact you to set up an initial consultation meeting. After the consultation meeting, a clinician will inform you about your status.
Please bring copies of the following items (when applicable) to your first consultation:
Note: Due to clinic capacity limits, we are not currently accepting online applications. We will open the application review process again on May 17, 2021. Any applications submitted prior to that date may not receive a response.
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