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The documents below will be needed when our team processes your request.

  • Physician's script: Dr. Medicaid and NPI #, along with client name, Medicaid #, and date of birth, referred for behavioral analysis services.
  • Comprehensive Diagnostic Evaluation
  • Current IEP or 504 and behavior plan from the school, if applicable.
  • Guardian and client's address.
  • Therapeutic Foundations Program Referral Form (Can be downloaded below, completed and attached to send.  Info@tf1aba.com


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TF_Program_Referral (docx)

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