Number of Pages: 3

Who is it for?

• New client

What is it for?

• A registration form for new client to fill out in order to enroll in services 

• Form includes questions such as:

  • Basic client's demographic information

  • Insurance information

  • Caregiver's information

  • Firearm storage

  • Pet living in the same household 

  • Court-ordered treatment

  • Previous ABA provider

Why should you use it?

• To gather information about the client prior to starting services

• Highly recommend to use it as part of the Intake Packet