• ABA INTAKE FORM
  • Welcome to Autism Allies. We offer comprehensive evidence-based Applied Behavior Analysis (ABA) services to support individuals on the autism spectrum and their families.

    Note: for the duration of the COVID-19 pandemic, we’re offering in-home, telehealth services, and limited center-based services

    Please have the following documents ready to complete this form:

    • Neuropsych evaluation (preferably one done within the past 3 years)
    • An updated physical examination
    • Copy of front side and backside of insurance card
    • If available, any other outside provider assessments (i.e. speech., occupational therapy, physical therapy, mental (health)

    It is our mission to provide the highest level of clinical care to your child as well as make the process as easy and supportive as possible to your family. If you have any questions, please do not hesitate to contact the Intake Manager at (508) 443-0018 EXT 7060 or intakes@autismallies.com.

  • Safety comes first...

  • To mitigate the risk of contracting and spreading COVID-19 and in accordance with Gov. Baker's guidelines for re-opening the State's economy, we have put in place specific measures that MUST be adhered to for the duration of the pandemic. Please consent to these measures by checking the following bullets and signing below.

  • Clear