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Autism Therapy Application

Caprock Behavioral Solutions is dedicated to making your admissions process as smooth as possible. Please contact us at 806-317-1071 or email at if you have any questions about our autism therapy application.

Step 1

To get started complete and return the intake form provided below. For best results, complete and send form using Adobe Reader

Caprock Intake Form

Step 2
If you would like us to bill insurance, we will need a copy of your child’s diagnosis (this should be in a doctor’s report), a prescription for ABA therapy, and a copy of the primary insurance card for your child (front and back). This information can be uploaded with your application or emailed to

Step 3
We will contact you to schedule a consultation. At this meeting, we will review our program with you to discuss your child’s specific needs, and your will receive a tour of our center.

Step 4
Complete and return the enrollment packet along with the $100 registration fee. If a spot is currently available, you will be scheduled for an initial assessment meeting. If we do not have space available, you will be placed on a waiting list for the next available opening.