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Step 1 of 10

Let's Learn A Little Bit About You...

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Parent's Name
Phone Type
Address

Child's Information

Child's Name
Are you currently receiving services at Therapy Smarts?
Is your child currently receiving ABA therapy with another clinic or company?

FUNction Junction ABA Program Application

You will complete the application in three (3) phases:

Phase 1: Fill out this form below. This form will get routed to the ABA Program director, who will direct the office to reach out to you to set up a parent interview.

Phase 2: Fill out, upload and submit the necessary documents, including an ASD diagnosis and IEP, if applicable. You can submit those documents here.

Phase 3: Attend the parent interview and ABA assessment.  This determines the plan of care and if your child is a good fit for the program. We want your child to thrive in the environment. So a good fit is crucial.

Please enable JavaScript in your browser to complete this form.
Step 1 of 10

Let's Learn A Little Bit About You...

.

Parent's Name
Phone Type
Address

Child's Information

Child's Name
Are you currently receiving services at Therapy Smarts?
Is your child currently receiving ABA therapy with another clinic or company?