Tell Us About Your Child

This quick form helps us determine next steps and verify insurance eligibility.

First Name

Last Name

Phone *

Email *

Postal Code

Child Date of birth

Insurance Provider

Does your child have a current diagnosis?

I agree to receive SMS messages from Arete Behavioral Solutions regarding my ABA inquiry, appointments, intake updates, and insurance verification. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out. Reply HELP for help. View our Privacy Policy and Terms & Conditions.