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 email@example.com if you have any questions about our autism therapy application.
To get started complete and return the intake form provided below. For best results, complete and send form using Adobe Reader
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 firstname.lastname@example.org.
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.
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.