Please email forms to firstname.lastname@example.org or fax to 352.600.3119
You can hand deliver, fax or email the documents to us prior to your appointment.
Please include a copy of:
Consent Forms Patient Information Forms
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.
Beginning February 1st, 2017 all children with Medicaid eligibility must obtain prior approval from EQHealth for ABA Therapy (Behavior Analysis Services).
Existing patients: if we have requested a specific form from you, please find and print the specific document
365 Citrus Tower Blvd
Clermont, FL 34711
Servicing Lake and Orange Counties
If you're a new patient
Download all Forms