Does your child resist affection from you, seem too comfortable with strangers or prefer to avoid interacting with family altogether?  You might be dealing with attachment issues. 

If you're interested in a group to learn attachment-focused parenting, complete the brief survey below. We plan to offer this group several times per year. We will be in touch when are starting the next group. You can also call our office at 727-657-7761 or email us at referrals@arsponline.org to get more information.

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* 1. Please list the first name(s) and age(s) of all children in your family who you think has attachment problems:

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* 2. Has the child previously been diagnosed with Reactive Attachment Disorder by a mental health professional?

  Yes No
Child #1:
Child #2:
Child #3:
Child #4:

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* 3. What day/time would work best for the parenting group?

  2-4 PM 4-6 PM 6-8 PM Anytime
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

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* 4. Please provide your name(s), phone number(s) and email address(es) so we can contact you to follow up regarding your interest in this group. Thank you!

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