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CONFIDENTIALITY AGREEMENT: LaHaye and Doll ABA Services will not purposefully share, post, or alter personal or medical information with any person, professional, or company without consent.  

Required Documentation for Waitlist Placement

Please upload all documents that were downloaded from the previous page.  Please fill out each document to the best of your ability. If you have any questions, please call our office for assistance.

Please make sure to include:

  • Completed Intake Packet

  • Signature Page of HIPAA Agreement

  • Signature Page of the Client Handbook

If you are missing any information we require, office staff will attempt to contact you for revisions or additions to your child's referral file.

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130 S. Buchanan St.

Lafayette, LA 70501

Phone: 337-769-3413

Fax: 337-769-3414

office@ldaba.com

Office Hours

Monday - Friday

8:30 AM - 3:30 PM

Connect with us on Social Media!

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© 2020 by LaHaye and Doll ABA Services

All rights reserved.

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