ABA SERVICES QUESTIONNAIRE | Brandis Center Inc

Has the patient received ABA services in the past?

How many days of ABA are you looking for?

Does the patient currently receive ABA services?

Does the patient currently attend school (including pre-k)?

When does your child attend school?

If NO, will the patient be transitioning to school within the next year?

Where are you looking for ABA services to occur?

Please select the time of day you are looking for ABA services.

For all new patients, an initial assessment is required prior to development of a treatment plan and beginning ABA services. The assessment process, once started, can take 6 or more weeks to complete.

Please note that parent meetings & trainings are a crucial part of your child's success, and are required by most insurance companies. These meetings may occur in-person on a regular basis.

Based on findings after initial assessment, your child may be referred to another ABA provider, or a recommendation of a higher level of care may be given.

Please understand that some insurance companies require co-pays, co-insurance, and/or deductibles to be paid for each session. It is ultimately the member's responsibility to understand their plan and to pay any required fees associated with their plan.

If our agency does not currently have an opening I would like to be placed on a wait list. In many cases our wait list can be 3-6 months or more. However, openings can occur at any time.

Patient transportation is not billable by our agency to the patient's insurance. Are you available to transport the patient to and from center-based services?

CUESTIONARIO DE SERVICIOS ABA

Si tiene alguna pregunta, envíenos un correo electrónico a info@brandiscenter.com o llámenos al (774) 241-0001.

Si necesita volver a este formulario, haga clic en el enlace enviado a su correo electrónico.

CUESTIONARIO DE SERVICIOS ABA

Si tiene alguna pregunta, envíenos un correo electrónico a info@brandiscenter.com o llámenos al (774) 241-0001. Si necesita volver a este formulario, haga clic en el enlace enviado a su correo electrónico.

Si tiene alguna pregunta, envíenos un correo electrónico a info@brandiscenter.com o llámenos al (774) 241-0001.

Si necesita volver a este formulario, haga clic en el enlace enviado a su correo electrónico.