Rehoboth Acres

Questionnaire for Day Program Enrollment

Thank you for your interest in Rehoboth Acres’ Day Program. Please complete the questionnaire below with as much detail as possible. It takes about 10 minutes, and you’ll want the applicant’s diagnosis and school history handy. Prefer to talk it through? Call (430) 215-7575 and we’ll walk you through it, or download the PDF and email it to rehobothacresetx@gmail.com.
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