Client Forms

The intake process to become a client at the Arizona Institute of Autism is as follows:

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Step 1: Complete the client Intake form for the selected program

Step 2: Read and sign all intake agreements with the assigned Client Case Advocate

Step 3: Complete the Clinical Learner Pre-Assessment Forms

Step 4: Get Approved 

Step 5: Start Service

 

Psychological

Psychological Client Forms

*New Client Fee $150.00

*New Client Fee is waived if included in additional programming

Step 1: PSY CR Client Intake Form 

Step 2: PSY Client Intake Agreement Form 

Step 3: PSY Financial Consultation Form

 

Step 4: PSY Learner Intake Pre-Assessment Form

 

Behavioral

ABA Therapy Client Forms

*Autism Diagnosis Required

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Step 1: ABA CR Client Intake Form 

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Step 2: ABA Client Intake Agreement Form 

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Step 3: ABA Financial Consultation Form

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Step 4: ABA Learner Intake Pre-Assessment Form

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Step 5: ABA Parent Handbook Signature

 

 

 

*Once the intake forms are complete we will contact you to schedule your assessment screening

with your assigned provider. Once your assessment has been signed of and you're approved for service, a Client Case

Advocate will confirm your select start date for quality service.

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Socialogical

Learner Social Club Client Forms

*Autism Diagnosis Not Required. Neurodivergent and Neurotypical learners are welcomed.

 

Step 1: Learner Social Club CR Client Intake Form 

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Step 2: Learner Social Club Client Intake Agreement Form 

 

Step 3: Learner Social Club Financial Consultation Form

 

Step 4: AIA Learner Intake Pre-Assessment Form

 

 

Client Notices

Late & Cancellation Fee Form

 

 

Visitor Notices

Visitor Confidentiality Form

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