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Meet Dr. Shipon-Blum
Established Patients

Appointment Follow-Up Forms:
** These forms are critical for your treatment process since they help Dr E assess your child's progress as well as plan for your consultation.* Please fill out at least 24 hrs prior to your consultation. 

For parents: Word or PDF Parent Follow-Up Questionnaire

For teachers: Word or PDF School Evaluation Form

For children/teens (ages 7 and older): Word or PDF Older Child/Teen Follow-Up Form


Contact Us:
Front Desk Call Center: 215-887-5748
Direct Patient Line: 215-886-6090
Fax: 215-827-5722
Email: smartcenter06@yahoo.com


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Directions to Center





Important!
SMart Center Policies:

Email Policy  
Insurance/Payment policy

MediaLibrary#82

Update Dr. E!
Parents, teachers and children/teens are encouraged to update Dr E on a regular basis!   This information helps Dr E understand and keep up with the treatment process between visits!   So, keep those emails and updates coming! 


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505 N. Old York Road   Jenkintown Square, Lower Level   Jenkintown, PA 19046
(215) 887-5748   smartcenter@selectivemutismcenter.org
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