'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:
Spectrum Therapy Center (forms and agreements)
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
Music Therapy &