SPEECH THERAPY & OCCUPATIONAL THERAPY APPLICATION

Please complete this secure application form. We will review the information provided and contact you as soon as possible via email.

Secure & Confidential Form Your information is protected and handled securely.
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* Fields marked with an asterisk are required.

Child & Insurance

Use MM/DD/YYYY
Choose Yes only if your child has a Step Up Student ID.
Step Up Student ID is required when Step Up is Yes.

Contact Information

Diagnosis & Clinical Documentation

Answer this question even if your child is not transferring.

Service Preferences

Choose one option.
Choose one or more therapy services.
Choose one option.
Choose one option.
Select at least one therapy above. Use Other Therapy only if needed.
Optional. You may choose one, several, or leave this blank.

Review, Consent & Signature

ABA Therapy Services · Port St. Lucie

Start ABA Therapy in Port St. Lucie with Confidence

Personalized center-based, school, and community ABA therapy with bilingual support, insurance acceptance, and a fast application review process designed to help families move forward with clarity.

What Happens Next

Once you submit the application, our team carefully reviews your child’s information, verifies the details needed to continue, and contacts your family by phone or email as soon as possible.

  • We review your application
  • We contact you to follow up
  • We verify eligibility and required documents
  • We help guide the next step in services

Insurance Accepted

We work with a range of insurance providers to help families access ABA therapy services in Port St. Lucie.

Sunshine Health State Plan Children’s Medical Services (CMS) Cigna / Evernorth Aetna Commercial Molina Healthcare Step Up For Students Blue Cross Blue Shield TRICARE Florida Medicaid

We’re Here to Help

We understand that starting therapy services can feel overwhelming. Our goal is to make the process simple, supportive, and easy to understand for every family we serve.