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Services
Educational
School Training & Consultation
Mosaic Minds Academy provides evidence-based training for school districts and individual programs within those districts such as crisis intervention and positive behavior support through the principles of ABA.
School Readiness Program
Mosaic Minds Academy prepares your child for the school environment through social interaction, structure, and basic learning skills.
Developmental
Screening Program
Mosaic Minds Academy offers an array of comprehensive screening options to promote early identification of communication, early learning, feeding, and motor development concerns.
Food Exposure and Toleration Therapy
Mosaic Minds Academy creates an environment that fosters safety and confidence within your child and encourages them to explore, experiment, and improve their comfort with and around food.
Music Therapy
Mosaic Minds Academy uses music therapeutically to address behavioral, social, psychological, communicative, physical, sensory-motor, and/or cognitive functioning.
Speech Therapy
Mosaic Minds Academy focuses on various communication needs presented in your child from early infancy to early adulthood.
Occupational Therapy
Mosaic Minds Academy helps improve your child's ability to participate in their daily occupation such as activities that they like to do and need to do!
Social-relational
Social Skills Therapy
Mosaic Minds Academy supports learners with cognitive skill gaps in which your child may misread social cues, struggle to infer the unwritten social rules, or hard time making and keeping friends.
Behavioral
ABA Therapy
Mosaic Minds Academy helps address a variety of affected developmental domains, such as cognitive, communicative, social, emotional, and adaptive functioning while reducing problem behaviors.
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In Crisis?
Intake Form
I. Client Information:
Client's First Name
Client's Last Name
Client's Birth Date
Client's Gender
Client's Ethnicity
Client's Language Spoken (Primary)
Client's Language Spoken (Secondary)
Client's Address
Client's City
Client's State
Client's Zip Code
School/Daycare Name (If Applicable)
School/Daycare Address (If Applicable)
School/Daycare Hours (If Applicable)
II. Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Street Address (If Different From Client)
Parent/Guardian City
Parent/Guardian State
Parent/Guardian Zip Code
Parent/Guardian Email
Parent/Guardian Phone
III. Insurance Information:
Primary Insurance
Insurance ID
Name of Policy Holder/Insured
Relationship to client
Policy holder DOB
Street Address of Policy Holder (If Different From Client)
Policy Holder City
Policy Holder State
Policy Holder Zip Code
Primary Insurance Card
Primary Insurance Card Front Side
Primary Insurance Card Back Side
Secondary Insurance Card (if applicable)
Secondary Insurance Card Front Side
Secondary Insurance Card Back Side
IV. General Information
Reason for Referral
Has client been diagnosed with Autism?*
Who provided the diagnosis?
Date of diagnosis
Hours available for services
Pediatrician name and phone number
How did you hear about Mosaic Minds Academy?
Is there any other information that you would like to share?
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