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Family Application

Join our supportive community in Springfield. Please provide the following information and documents to begin your journey with us.

Family Application Form

Child's Diagnosis

Please upload clear images or documents of both the front and back of your insurance card.

Please upload the most recent clinical evaluation documents.

Please upload the most recent Individualized Education Program document.

Please upload the most recent Behavior Intervention Plan document.

Upload documents in PDF format. Ensure all clinical evaluations include a diagnosis.

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