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© 2019 Spectrum Therapy Center

Intake Checklist

Complete the 
'Contact Request Form'

What We Need From You

Are you ready to begin submitting?

If you have not yet submitted a 'Contact Request Form' online or over the phone, please do so before submitting the items outlined below.

Once a 'Contact Request' has been submitted, you are welcome to begin submitting the requested information and documents prior to receiving a call back. Though you may choose to wait until speaking with a director.

Not sure what step is next? Look them over at the 'Get Started' page.

Before we are able to schedule therapy services we must collect some information from you. The checklist is made up of documents & other files from:‚Äč

  1.   Spectrum Therapy Center (forms and agreements)

  2. Outside Sources, for example: pediatrician, previous therapy providers, evaluation facilities 

Review the options below and select the checklist specific to your child. 
Prospective clients interested in ABA/Social Skills AND other additional services only complete the ABA/Social Skills checklist
ONLY FILL OUT ONE CHECKLIST

Interested in ABA Therapy and/or Social Skills

Child has received evaluation and ASD diagnosis from an AAEC

Optional: Interested in Speech Therapy, Occupational Therapy, and/or Music

ABA Therapy & Social Skills

Checklist (AAEC evaluated)

Optional: Speech Therapy , OT, Music

Note: If you are interested in Speech or O

Child has received ASD assessment, diagnosis and physcological report from a non-AAEC

Interested in ABA Therapy and/or Social Skills

ABA Therapy & Social Skills Checklist (Non-AAEC evaluated)

Optional: Speech Therapy , OT, Music

Note: If interested in additional services after finishing intake process, notify your therapist 

Interested in OT and/or Speech Therapy

For Speech and/or OT

 

Not interested in ABA Therapy at this time

Occupational & Speech

Therapy

Note: If interested in additional services after finishing intake process, notify your therapist 

Interested in music related services

For Music Therapy and/or Lessons

 

Not interested in ABA, Social Skills Therapy, OT, or Speech, at this time

Music Therapy &

Lessons Checklist