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The Drake Institute of Behavioral Medicine and Medical Associates does not share or sell the personal information that you provide us. We keep all information in the strictest confidence. We use the information to better understand your needs and to increase the quality of service provided by the Drake Institute.

By submitting a form below you are requesting an Orientation Seminar in one of the clinics here in Southern California. The Orientation Seminar provides more information about the disorders and diseases that The Drake Institute can treat.

Please choose from one of the following contact forms to have our Medical Director or a clinical staff member contact you at a convenient time for you.

Child with Attentional Deficit Disorder / Attention Deficit Hyperactive Disorder
Fill in this form if your child may have an attentional disorder.

Adult with Attentional Deficit Disorder
Adults who may have a attentional disorder fill in this form.

Child with Autism or Asperger's Disorder
Parents fill in this form if your child has Autism or Asperger's Disorder

Child with a Language Disorder
If you believe your child has a Language Disorder please fill in this form. If you child is showing symptoms of both ADD / ADHD and a Language disorder please click here.

Adults coping with stress or a stress related disorder or disease.
Please fill in this form if you are experiencing high levels of stress or a stress related disorder or disease.

You can also call us at 1 (866) 606 - 4233.

Thank you for your interest in the Drake Institute of Behavioral Medicine.