Enroll Your Child in Personalized ABA Therapy

Our intake process is unique in that we place children based on their individual characteristics in order to create the best fit.  The process is not first come, first serve.  Once an appropriate placement is determined, we will contact you to schedule an Initial Assessment.

Initial Intake Questionnaires

Early Learner Program

If your child is currently 1-5 years of age and not yet enrolled in Kindergarten, complete this form.
  • Monday - Thursday 8:00a - 12:30p

  • Child

  • Parent/Guardian

  • Insurance Information

  • Drop files here or
  • Is there anything specific you want us to know?

Transitions Program

If your child is currently 4-5 years of age and will be enrolling in Kindergarten next fall, complete this form.
  • Monday - Thursday 1:30p - 4:00p

  • Child

  • Parent/Guardian

  • Insurance Information

  • Drop files here or
  • Is there anything specific you want us to know?

School Age Program

If your child is currently enrolled in school, grade K-5, use this form.
  • Monday - Thursday 4:15p - 6:00p

  • Child

  • Parent/Guardian

  • Insurance Information

  • Drop files here or
  • Is there anything specific you want us to know?