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Child Referral Process

To refer a child for ABA therapy, please complete and submit the online referral form below with all necessary details.

Child Referral Request Process

Use this form to submit a child’s referral for ABA therapy. Providing detailed information helps us evaluate and start the referral process efficiently, ensuring the child receives the appropriate care promptly.

A checklist for authorization.
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Submitting a Child Referral Request

Please complete the online form to request an ABA therapy referral for a child. Ensure all information is accurate to facilitate the evaluation and initiation process.