New Client Intake Form
Please complete the appropriate form thoroughly before your free consultation. The details you provide will help us maximize the value of our time together during the call. Please notice there are separate forms for minors and adults.
The forms are HIPAA compliant via encryption by Paubox.
After you complete the intake form, please email the following documents to us at support@caadvocacygroup.com for us to review ahead of the free consultation (All documents MUST be in PDF form) :
Most recent Individual Education Plan (IEP)
Most recent copies of Behavior Intervention Plan (BIP) and/or Special Circumstance Instructional Assistance (SCIA) Assessment
Most recent Individual Program Plan (IPP from Regional Center)
Most recent therapy reports including ABA, PT, OT and Speech
Most recent SOC 821 form (Assessment of Need for Protective Supervision)
Any documents that support the need for Protective Supervision or personal care service areas.
