Get prepared for your teen coaching call, please complete the short onboarding form below:

"*" indicates required fields

Child's Name*
Parent's Name*
Please confirm all decision-makers will be present during the Zoom call.*

How did you hear about Dr. RJ?*

Which of the following best describes the reason you are interested in Dr. RJ's coaching program*

How would you describe the relationship with your child?*

We recommend that both parents/guardians attend this consultation. If your child qualifies for Dr. RJ's program, you will have the opportunity to enroll during the consultation.*