Request an Appointment

If you are requesting ABA Therapy Services, please visit our:
ABA Therapy Services Request Form>>>

If you are requesting on behalf of a CMO, CST, or DCPP, please visit our:
CMO/CST/DCPP Services Request Form>>>

For Neuropsychology testing and HD-EEG testing:
Documentation of Medical Necessity is required from your referring physician in order to submit a claim to your insurance company. Medical Necessity Documentation includes: a prescription from your referring physician, a report documenting the reason for referral and a diagnosis code.

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