Intake Forms - Magic Behavioral Care

Admission Form

Welcome to Magic Behavioral Care. To begin your admission process, please complete our admission form. It’s quick and easy to navigate. Once you begin, feel free to take your time and complete each section at your own pace.

New Client Contact Form

Do You Have a Referral?

Type of Service

Type of Insurance

Insurance Provider

Child Birth Day

Has Your Child Already Been Diagnosed?

How Did You Hear About Us?

Anything Else You'd Like Us To Know?

New Client Contact Form

Do You Have a Referral?

What Kind of Service do You Need?

Type of Insurance

Insurance Provider

Child Birth Day

Has Your Child Already Been Diagnosed?

How Did You Hear About Us?

Anything Else You'd Like Us To Know?

We are dedicated to making a positive impact in the lives of children and adolescents through our specialized ABA Therapy services.

We are dedicated to making a positive impact in the lives of children and adolescents through our specialized ABA Therapy services.

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© 2024 Magic Behavioral Care Corp. Creado por Miami Viral

Terms of use | Privacy Policy

© 2024 Magic Behavioral Care Corp.

Creado por Miami Viral

Terms of use | Privacy Policy