365 Citrus Tower Blvd

Suite 106

Clermont, FL 34711

  Office: 352.223.1999  

Fax: 352.600.3119

Servicing Lake and Orange Counties

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



                                                                   Consent Forms                            Patient Information Forms



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

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

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