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In-Home ABA Program Intake Packet - Behavior Consultant

Reinforcement Unlimited, LLC P. O. Box 1572 107 Weatherstone Drive #530 Woodstock, GA 30188 Woodstock, GA 30188 (770) 591-9552 Fax (800) 218-8249 In-Home ABA Program Intake Packet Thank you for selecting us at Reinforcement Unlimited, LLC to help you meet the needs of your child . We know you have many options to choose from and appreciate your having selected us to assist you with this important process. The attached Packet of information will help inform you about Reinforcement Unlimited, LLC policies and procedures, and allow you time to gather information prior to your Intake appointment. This information will be shared with the BCBA assigned to your case, should you proceed with ABA therapy, prior to your initial meeting with them. In each instance the BCBA is responsible professionally for all services provided to you and your child .

CHILD & ADOLESCENT INTAKE QUESTIONNAIRE Confidential The following questionnaire is to be completed by the child’s parent or legal guardian.

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