SoCal Speech-Language Therapy    PEERS for Adolescents and Teens Pre-enrollment Sheet
Please complete this pre-enrollment form and a member of our team will contact you for an intake interview.  
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About:
PEERS® for Adolescents is an evidence-based social skills program for teens who want to build and maintain friendships, handle social conflict, and navigate experiences of rejection. Through structured lessons, role-play demonstrations, and guided group activities, participants learn and practice essential social communication skills in a supportive environment. The program consists of 16 weekly sessions, each 90 minutes long. Peer groups are thoughtfully assigned based on age, program eligibility, and social compatibility to ensure a positive and developmentally appropriate group experience.  

📍 SoCal Speech-Language Therapy, P.C.
808 Foothill Blvd. Unit D
La Cañada Flintridge, CA 91011
📞 (323) 407-8948
📧 carla@socalspeech.com

Parent/Guardian Name *
Parent/Guardian Email *
Childs Name *
Childs Birthdate  *
Childs Age *
Parent/Guardian Phone Number  *
Format Preference  *
General Availability- check all that apply *
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What are your social goals for your child? *
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