Schedule a Free Screening

Dr. Florance is very dedicated to helping highly visual children with problems in attention, memory, listening, speaking, reading, and writing.

Please fill out the following form to schedule a free screening with Dr. Florance and together you and Dr. Florance can take the first steps towards a symptom free life. So let's get started.

  First Name:

  Last Name:

  Phone Number:

  Address:

  City:

  State:

  Zip/Postal Code:

  Country:

  Email address:

  Re-enter Email: Must match above email address.

  Reason for scheduling a free screening:

  Best Time To Call: