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Required Intake Information

Abstract Gradient Blur

1

Intake Packet

Please follow the link below to complete LaHaye and Doll ABA Services Intake Packet. We ask that you fill out the packet as honestly and completely as possible in order for our practitioners to assist with services.

2

Signature Pages

Follow the link below to access our Client Handbook & HIPAA Confidentiality Agreement. It is recommended that you print and save copies of these documents for your records. Once all signatures have been collected, our Intake Coordinator will get in contact with you.

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