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.

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


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Southlake Autism and Behavior Services, PA

355 Citrus Tower Blvd

Suite 116

Clermont, FL 34711

  Office: 352.223.1999  

Fax: 352.600.3119

Servicing Lake, Orange, Sumter and Polk Counties


*As of February 1st, 2017,  all children with Medicaid coverage must obtain prior approval from Beacon Health Options for ABA Therapy.


                                                          


                                                                   Consent Forms                            Patient Information Forms

                                                                               and

                                                                           Agreements

If you're a new patient

click on

Download all Forms