Behavioral Dimensions Services Request Forms
Early Intensive Behavioral Intervention
Because we provide home-based services , we do not maintain standard “first-come” wait lists. Service availability will depend on the availability of supervisory staff in your area. Because we typically provide services for 2-3 years to child, our ability to take on new clients may be somewhat limited in specific geographical locations. In order to determine service availability, an intake packet should be submitted for the program you are interested in. We will contact you within two weeks to let you know the status of your intake. Please refrain from submitting additional documentation with the intake packet. We will request specific medical documentation once services begin.
Minnesota locations include:
Greater metropolitan area, Northern suburbs of Cambridge, Isanti, East Bethel areas, Marshall, St. Cloud, Alexandria
Click Below for the Services Request Form for Intensive Behavioral Intervention Services for MINNESOTA
Click here For Minnesota EIBI Form
South Carolina Counties served include:
Greenville, Anderson, Spartanburg, Pickens, Oconee
Click below for the Services Request Form for Intensive Behavioral Intervention Services for SOUTH CAROLINA
Click here For South Carolina EIBI Form
Positive Behavioral Supports for Caregivers
This service is provided throughout the state and primarily through telehealth. The hours of service are 8:00 a.m.-4:30 p.m. Service availability depends on the availability of our staff, the ability to coordinate schedules with caregivers, and the child’s insurance. Caregivers will need to have access to electronic systems and devices that allow for telehealth. We will contact you within two weeks to let you know the status of your intake. Please refrain from submitting additional documentation with the intake packet. We will request specific medical documentation once services begin.
Click below for Positive Behavioral Supports for Caregivers Services Request Forms
Assessments and Evaluations (Minnesota Only)
We offer a variety of assessments intended to assess a child for autism or related conditions or to update an existing diagnosis of autism or a related condition. Our ability to conduct assessments will depend on the type of insurance the child has. Once the intake packet is received you will be contacted within two weeks.
Assessments conducted include,
- Comprehensive Multi-Disciplinary Evaluation (CMDE)
- Psychological testing / Diagnostic Assessments
Click below for the ASSESSMENT Service Request Form
