Client Intake Forms
Provide documentation of diagnosis or referral from a qualified healthcare provider (Pediatrician, Psychologist, Psychiatrist, or neurologist). Once this is approved assessment can begin.
Our BCBA will:
Once approved and matched with an RBT, ABA therapy starts. Your personalized journey toward growth, independence, and confidence begins here.
These forms help us understand your unique needs, keep your information secure, and ensure that your care plan is personalized. Completing them carefully ensures a smooth start to services.
Take your time, answer all questions honestly, and provide any documentation requested by your healthcare provider. You can save and return to forms if needed. If you have questions, please email our team at [email protected].
Your privacy matters. All forms are HIPAA-compliant and handled securely. By completing these forms, you acknowledge that we will use this information to provide and coordinate ABA services tailored to your needs.