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Specializing in autism spectrum disorders and related conditions.

African American Mother with Daughter
African American Boy

Board Certified in Biofeedback

biofeedback certification

Forms


If you're a new client, please complete the following forms and bring them to our first meeting, along with copies of relevant evaluation reports and/or academic records.  If you have any trouble downloading or printing these forms, please let me know and I will send you a copy in the mail.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of confidential information:

If you would like to communicate with Dr.Bieberich through email, please complete this form:


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