......when experience matters

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Aspergers Clinic
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  Intake Packet (PDF)

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    5 & 6 Yr Olds

In-Home Services
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   Insurance Policy PDF

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  What is the ABLLS-R?
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    Sleep Tips
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Forms

All forms are available for download  in Adobe Acrobat format (PDF).  If you do not have the most recent version of Adobe Acrobat you can download it by clicking here.

 

At the Beginning

COMPLETE EVALUATION INTAKE PACKET - Required

Authorization to Release Information
Brief Health Information Form
Consent for Assessment/Evaluation
Insurance Payment Policy
Payment Policy
Professional Services Fees
Records to Bring to an Evaluation

Authorizations to Release Information are not required for services but are required for us to acknowledge serving you or your child to any third party.  An Authorization to Release Information is NOT the same as requesting specific information, it merely is an authorization not a specific request.  Specific requests for records are handled as expeditiously as possible, however it is unrealistic to expect requests to be handled in less than one weeks time.

On-Going Data Collection

5 Minute Interval Form
15 Minute On/Off Task Form
ABC Data form (2 pages)
Communication Modes Table
Toileting Form

Handouts

Compliance Training
Sleep Hygiene
Time Out Guidelines
What is Functional Communication Training



 

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