CORE Connection Counseling
 
Colleen Hanson, LCSW
Shawn Amador, LCSW
Jessica Amedeo, LCSW
Amy Malone, LCSW
Jackie Weber, LCSW
Jamie Wiora, LCSW
 
 
6040 State Route 53, Suite B
Lisle, IL 60532
630-524-4000
 
www.coreconnectioncc.com
www.colleenhansontherapy.com

Group Waiting List

Please complete this form if you are interested in an upcoming session for our groups. We will send you our application for the next session of groups once it is available.
See our website for more information and specifics about groups being offered or add your name to our mailing list for updates.
 
Participants in our social groups should have average to above average verbal IQ and solid language skills because our programs incorporate the Social Thinking┬« materials and methodology, a language based learning approach.  For more info, please visit www.socialthinking.com
 
 
 
 
Save & Return Account (optional)
New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish. The account you establish is only for this form.

Client Information

We are interested in groups for *
New Client or current client *
If a group opening is not currently available for my child/teen
Does your child/teen have an IEP or 504 Plan *
Please mark the group or groups that you are interested in for your child/teen/parent. *

Parent/Guardian Information

Primary contact *
 
Please indicate how you found us *
 
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