ABA Intake Packet - University of Washington Autism Center
This file contains important information regarding the ABA intake process at the University of Washington Autism Center. It provides instructions for completing necessary forms and outlines the services offered. Users can learn about the registration process and the additional forms required.
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How do I fill this out?
To fill out this form, start by gathering all necessary information about the client. Carefully review the services available to determine the best fit for the individual’s needs. Follow the instructions outlined in each section to ensure accurate and complete submission of the forms.

How to fill out the ABA Intake Packet - University of Washington Autism Center?
1
Gather necessary client information.
2
Review the ABA services provided.
3
Fill out the registration and additional forms.
4
Submit the completed forms to the intake coordinator.
5
Contact the office for any questions regarding the process.
Who needs the ABA Intake Packet - University of Washington Autism Center?
1
Families of children suspected of having Autism Spectrum Disorder, for initial assessment and intervention services.
2
Parents seeking early intervention for their children under 24 months.
3
Teachers needing guidance on social skills development for their students.
4
Individuals requiring in-home behavior support tailored to their needs.
5
Caregivers wanting to improve their skills in handling autism-related challenges.
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What are the instructions for submitting this form?
To submit this form, please complete all required fields and ensure accuracy. Once filled, you can submit the form via email to uwautism@uw.edu or send a fax to (206) 598-7815. Alternatively, you can mail your completed forms to the Seattle Office at Box 357920 Seattle, WA 98195-7920 or the Tacoma Satellite at Box 358455 Tacoma, WA 98402-8455.
What are the important dates for this form in 2024 and 2025?
All forms submitted should ideally align with the service timelines provided by the University of Washington Autism Center. Check the website for specific deadlines for the 2024 and 2025 service periods.

What is the purpose of this form?
The primary purpose of the ABA intake packet is to gather crucial information from families seeking autism-related services. It allows the autism center to understand the specific needs of each client for effective service delivery. Completing the forms accurately aids in the prompt scheduling of assessments and interventions.

Tell me about this form and its components and fields line-by-line.

- 1. Client Information: Includes personal details such as name, age, and contact information.
- 2. Service Selection: Clients specify which services they are interested in from the options provided.
- 3. Parental Consent: A section where parents or guardians must sign to grant permission for services.
- 4. Additional Notes: Any extra information the client or guardian wishes to provide regarding the client’s needs.
What happens if I fail to submit this form?
Failure to submit the form may delay the intake process and the start of services for the client. It is crucial to ensure all required sections are completed accurately to avoid any potential setbacks.
- Delayed Services: Incomplete submissions can result in delayed scheduling for necessary assessments.
- Inaccurate Information: Providing incomplete or inaccurate information may lead to misalignment in service delivery.
- Potential Rejections: Failure to meet submission requirements could result in the form being returned for corrections.
How do I know when to use this form?

- 1. Initial Assessment: Use this form when the client requires an initial assessment for autism-related services.
- 2. Service Enrollment: Complete this form to enroll in specific ABA services offered by the center.
- 3. Parental Consent: Necessary for obtaining parental or guardian consent for services.
Frequently Asked Questions
What types of services are covered in the ABA packet?
The ABA packet covers various services including infant clinics, social skills groups, and intensive in-home ABA programs.
How do I initiate the intake process?
To start the intake process, complete the registration form included in the packet and submit it to the intake coordinator.
Can I edit the forms before printing?
Yes, you can edit the PDF forms using PrintFriendly’s tools before downloading.
What if I have questions regarding the services?
Feel free to contact the intake coordinator at the provided email or phone number for inquiries.
Are there any age restrictions for the services?
Yes, certain services, like the Infant Clinic, are specifically designed for children 24 months and younger.
How do I fill out the registration form?
Gather all necessary information and follow the instructions provided in the packet to ensure proper completion.
Is there a contact number for urgent questions?
You can reach the intake office at (206) 616-8642 for any urgent inquiries.
What steps are involved in the intake process?
You will need to fill out the registration form, provide additional documentation, and then schedule an intake appointment.
Can I access interpretive services during the process?
Yes, the form allows clients to request interpretive services as needed during the intake process.
Is there a physical address for submissions?
Yes, completed forms can be mailed to the Seattle or Tacoma office addresses provided.
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