Parent Portal

Parent Portal


Welcome to the parent portal!


If this is your first visit, start by watching the tutorial videos below.


Parents are required to complete the intake form so we can begin reviewing your information and continue with the onboarding process.


Form

ENGLISH

SPANISH

Intake Portal



Dear Prospective Client,

 

Thank you for your interest in our company. Please submit the completed forms below to ensure we can start the process of initiating ABA services. If you have any questions about what to upload or where to get it, please contact us.

 

Thank you again for your interest in our services and we look forward to working with you.

 

Sincerely,

Miladys Rodriguez Silveira, MS, BCBA

Owner & Clinical Director


☑︎INTAKE FORM

Download⬇️

☑︎REFERRAL FORM

COMPLETED BY REFERRING PROVIDER

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☑︎INSURACE CARD

FRONT AND BACK




☑︎DIAGNOSTIC REPORT

☑︎INTAKE PACKET

Download⬇️

☑︎INTAKE FORM

Download⬇️