1. Child and Adolescent Application for Services

3. Release Authorization

4. Questions for Parents to ask a Program

FORMS FOR FAMILIES

Completed forms may be faxed to:
(919) 287-2950 

or
scanned to: burkelittlencva@gmail.com

2. Young Adult Application for Services

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We encourage clients to come as they are. At Burke-Little & Associates we are proud to provide services to individuals of all identities and backgrounds.