Thank you for your interest in service with BCS! Below are our new client documents. Please download and return either by fax to 407-329-4180 or via email to firstname.lastname@example.org
We will also need the following documents in order to complete the intake process:
Doctors Referral or script dated within 1 year (No electronic signatures, must include client DOB, diagnosis, and the recommendation for behavior analysis services).
Comprehensive Diagnostic Report or Evaluation (also called a CDE). Must be completed by Doctoral Level Psychologist, Psychiatrist, Neurologist, or Developmental Pediatrician ONLY. For Medicaid clients, this report must be from within the last 2 years. IEPs are NOT Accepted