Southlake Office: 817-442-9022 | Missouri City Office: 346-368-4412
Specializing in Autism, Behavior, and Speech Therapy
New Client Inquiry Form
Want to expedite the Intake Process?
Step 1. Download our Intake Packet and Consents by clicking on the button below.
Step 2: Submit a copy of your insurance card (front and back)
Step 3: Submit a copy of your child's original comprehensive autism evaluation conducted by a qualified medical provider (Ph.D, Psy.D, Developmental Pediatrician, Neurologist, or Psychiatrist)
Step 4: If your child in in public school, please submit the initial Full Individual Evaluation (FIE) and most recent Individual Educational Plan (IEP)
Step 5: Additional medical evaluations or previous or current therapy evaluations (ex: if your child has had or is currently receiving additional services like speech therapy, occupational therapy or physical therapy, etc.
Step 6: Submit all documents by email to firstname.lastname@example.org or by fax at 855-742-3123.
Unable to locate all the requested documents? No problem!
Submit what you have now and we will assist you with gathering the additional documents later.
Have questions? Southlake Office at 817-442-9022 or Missouri City Office at 346-368-4412