SIRRI Sensory Integration and Learning Center - Autism, ADD/ADHD, Learning Disabilities

Arizona
(480) 777-7075
info@sirriaz.com
Directions

Contact SIRRI

SIRRI:
AZ • 4515 S. McClintock Drive, Suite 208, Tempe, AZ 85282 • (480) 777-7075 • e-mail: info@sirriaz.com Directions

Please fill out the form below.
Be sure to include at least your name, phone number, and e-mail address so we can contact you.

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*Your Name:

*Email:

*Best Phone Number:

If you are contacting us with questions about one or more of our programs, or to get further information about the services SIRRI provides regarding either your child, a loved-one or yourself, please fill out as much of the information below as possible. Information will be held in strict confidence.

Patient's Name:

Patient's Age:

Which Program(s) Are You Interested In?

Sensory Learning Program
Interactive Metronome
Neurofeedback and Biofeedback
Cognitive Training
Reading Development
Occupational Therapy

Street Address:

City:

State:

Zip Code:

Other Phone Number (if applicable):

Patient Diagnosis:

History:

Please give a brief history
of the Patient, and a description of the problems he/she has: