Referral Resources for Providers

 

Psychological Assessment

Please download our referral form, complete and send it via secure fax to 866-295-4830, or send it via email to admin@bcps-autism.com

Download Psychological Assessment Referral Form

 

Applied Behavior Analysis

Please download our referral form, complete and fax along with a letter of medical necessity which confirms the client's diagnosis of autism along with a copy of the diagnosis report to 866-295-4830 or send via email to admin@bcps-autism.com.

Download Referral Form

 

Specialized Consultative Services (Innovations Waiver)

Please download our referral form, complete and fax to 866-295-4830 or send via email to admin@bcps-autism.com.

Download Referral Form