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Center & General Inquiries: (419) 738-3366
Billing Inquiries: (419) 738-3367
Fax Number: (833) 409-2205
If you are a new family, these are the forms you will need to print and fill out before your initial intake meeting. At that meeting, a BCBA will go over the information you have provided. If you have questions about anything on these forms, the BCBA conducting your initial intake meeting can help.
In some of these forms, you will be signing that you have received, read, and agree to certain documents. You can find those documents here.
If you are unable to print these forms and need them mailed to you, or if you have not yet scheduled your initial intake meeting, please contact our office at (419) 738-3366.
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