Beginning February 1st, 2017 all children with Medicaid eligibility must obtain prior approval from EQHealth for ABA Therapy (Behavior Analysis Services).

You can hand deliver, fax or email the documents to us prior to your appointment.


Please include a copy of:

  • parent's drivers licenses
  • front and back copy of the insurance card


.                      



If you're a new patient

click on

Download all Forms

 

Existing patients: if we have requested a specific form from you, please find and print the specific document

Although the length of time it takes to get full approval for treatment varies with each insurance company,

it generally takes between 10 and 20 business days.


355 Citrus Tower Blvd

Suite 116

Clermont, FL 34711

  Office: 352.223.1999  

Fax: 352.600.3119

Servicing Lake and Orange Counties


Please email forms to info@southlakeautism.com or fax to 352.600.3119


                                                          


                                                                   Consent Forms                            Patient Information Forms

                                                                               and

                                                                           Agreements