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Intake Form

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For Clients under 18 years

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Stressful Life Events

please describe any significant or stressful life events that you have been experiencing

Economic Problems?if yes, please describe
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Educational or occupational difficulties?if yes, please describe
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Contact info

info@neurobloom.com.na

+264818542664

Erf 2287, Corner of Louw and Hugo Street Windhoek North, Windhoek

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Operating Hours

Monday – Friday

08h00 – 18h00

Saturdays:

09h00-13h00

 

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