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Required Intake Forms

Please review and complete these documents to help us begin our journey together. Having these ready ensures a smooth and reassuring start for your child’s therapy sessions.

Client Intake Questionnaire

Initial contact details and clinical background required for all new ABA clients.

ABA Services Agreement

A detailed overview of therapy policies, session expectations, and attendance.

Medical History & Release

Essential records and consent to coordinate care with your child's medical providers.

Photo & Media Consent

Consent for clinical photography and documentation used for progress tracking.

HIPAA Privacy Notice

Your privacy is key. Learn how we handle and protect your sensitive health data.

Financial Responsibility

Authorization for insurance submittals and clarification of billing procedures.

Submission Instructions

Completing your paperwork is simple. Follow these few steps to ensure everything is ready for your child’s evaluation.

    Download All Documents: Save each required form by clicking the download buttons provided above. Complete & Sign: You can fill them out digitally or print them at home. Please ensure legal guardians sign each document where indicated. Submit Your Files: Upload completed forms through our secure portal, email them to our clinic, or simply bring printed copies directly to your first appointment.

Timing Expectations

To ensure our clinical team has time to review your profile, please submit all documents at least 48 hours before your first scheduled session.

Privacy & Security

Your trust is paramount. All information provided is handled with strict confidentiality and stored on our encrypted, HIPAA-compliant servers.

How to Complete Your Intake

  • Download the required forms from the library; completing them digitally or by hand is perfectly fine.Take your time with each section; your detailed insights are vital for tailoring our clinical ABA support.Submit your paperwork securely through our patient portal or bring printed copies to your first session.We ask that all intake forms be completed at least 48 hours prior to your evaluation for clinical review.

Privacy & Confidentiality Notice: Your family's trust is essential. All shared clinical documentation is kept strictly confidential in alignment with HIPAA protocols.

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