Texas ABA & Child Development Services
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See if we are in-network with your insurance:
Aetna Health Plan
Blue Cross Blue Shield of Texas (PPO)
Cigna
Molina
Superior | Star Health
UMR
United Health Care (PPO)
Wellpoint
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Enter your information below and a enrollment specialist will reach out with next steps.
Parent/Guardian (Full Name)
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Parent/Guardian Email Address
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Parent/Guardian Phone Number
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Child's Full Name
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Child's D.O.B
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Child's Age at Submission?
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Does your child have a medical diagnosis of Autism that is less than 3 years old?
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Select...
Yes
No
What are your primary concerns regarding your child? (Check all that apply)
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Please select at least one option.
Behavior Management
Communication Deficits
Deficits with Social Skills
Emotional Regulation
Self-injury or Agression
How often does your child display challenging behaviors (such as tantrums, aggression, or self-injury)?
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Please select at least one option.
Rarely (few times per week or less)
Sometimes (1–2 times per day)
Often (several times per day)
Very often (many times per day and difficult to manage)
Have your child’s behaviors ever required physical restraint, safety equipment, or medical intervention?
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Please select at least one option.
Yes
No
If your child shows aggression toward others, what does that typically look like?
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Please select at least one option.
Yelling/Cryng
Biting
Hitting/Kicking
My child shows aggression, but not in a way that is listed
N/A- My child does not show aggression
Is your child currently attending school?
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Select...
Yes, (K-12 Program)
Yes, (ECI/Head start Program)
No
Does your child's behavior create disruptions at daycare and/or school?
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Please select at least one option.
Yes
No
N/A, My child does not attend daycare or school
Has your child received ABA Services in the past?
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Please select at least one option.
Yes
No
Are you looking for Center-based Services?
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Please select at least one option.
Yes
No
To ensure that we are in network with your insurance, please select your carrier from the list below:
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Select...
Aetna (PPO)
Baylor Scott & White (PPO)
Blue Cross Blue Shield (PP0)
Cigna (PPO)
Molina (Medicaid)
Superior (Medicaid)
United Health Care (PPO)
Wellpoint (Medicaid)
I have a Marketplace Plan
Do you currently have a secondary insurance policy?
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Select
Yes
No
Unsure
Acknowledgement: Our program is designed to provide early intervention services with a focus on speech and communication, social and play skills, and early literacy development. Our approach to behavior support emphasizes proactive strategies and skill building. Because of this, our services may not be the most appropriate match for children who require intensive behavior support. In those situations, we are happy to collaborate with families to connect them with providers who specialize in that level of supportive services to ensure the child’s needs are best met.
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Please select at least one option.
I understand.
Acknowledgment: Placement on our waitlist does not guarantee enrollment. Final enrollment decisions are based on whether our program’s services and supports align with your child’s needs to ensure we can provide the most appropriate care.
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Please select at least one option.
I understand
Please select at least one option.
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