March 11, 2025
Provide us with brief demographics and overview of your child to make sure ABA services are appropriate.
The authorization of medical and educational release form gives the company permission to access and obtain to your child's records. This is necessary with aiding in the approval process and future collaboration with your child's caregivers (doctor's, teachers, OT, etc.)
Pre-approval from insurance company (if applicable) is required prior to any evaluation, therapy, or other service being provided. The documents collected will be submitted to the funding source will they will give an approval for an evaluation.
General Information
Authorization to Release Information
Authorization to Bill Insurance
Informed Consent
HIPPA Service Agreement and Consent Form
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ABA Therapy Services in the Southwest, Florida area
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