Your first step toward care begins here. While our Client
Services Coordinators will guide you through every step and
provide all necessary forms, you can also access and
download them directly from this page.
If you’ve not yet started onboarding with one of our Client
Services Coordinators, click the START button below.
A-01: Client Insurance and Financials
Use this form to provide insurance details and understand
financial responsibilities for service.
A-02: New Authorization and Health Information
This form gives us permission to access health records and request service
authorization from your insurance provider.
B-01: Medical/Client History Form
Tell us about your child’s developmental, medical, and
behavioral history to ensure personalized care planning.
B-02: Consent for Assessment and Evolution
Complete this form to provide consent for Butterfly Effects to conduct
a behavioral assessment.
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