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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 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.

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.

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