Edit, Download, and Sign the ABA Intake Packet - University of Washington Autism Center

Form

eSign

Email

Add Annotation

Share Form

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.

imageSign

How to fill out the ABA Intake Packet - University of Washington Autism Center?

  1. 1

    Gather necessary client information.

  2. 2

    Review the ABA services provided.

  3. 3

    Fill out the registration and additional forms.

  4. 4

    Submit the completed forms to the intake coordinator.

  5. 5

    Contact the office for any questions regarding the process.

Who needs the ABA Intake Packet - University of Washington Autism Center?

  1. 1

    Families of children suspected of having Autism Spectrum Disorder, for initial assessment and intervention services.

  2. 2

    Parents seeking early intervention for their children under 24 months.

  3. 3

    Teachers needing guidance on social skills development for their students.

  4. 4

    Individuals requiring in-home behavior support tailored to their needs.

  5. 5

    Caregivers wanting to improve their skills in handling autism-related challenges.

How PrintFriendly Works

At PrintFriendly.com, you can edit, sign, share, and download the ABA Intake Packet - University of Washington Autism Center along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

thumbnail

Edit your ABA Intake Packet - University of Washington Autism Center online.

Editing this PDF on PrintFriendly is straightforward and user-friendly. Simply upload your file and use our editing tools to make changes as needed. Customize the document to reflect the most up-to-date information for your needs.

signature

Add your legally-binding signature.

Signing the PDF on PrintFriendly allows for simple and efficient document authentication. You can add your signature quickly without printing the document. This ensures a professional touch on your paperwork.

InviteSigness

Share your form instantly.

Sharing your edited PDF on PrintFriendly is easy and convenient. Utilize our sharing options to send the document directly to others. This feature saves time and ensures your information reaches the right audience.

How do I edit the ABA Intake Packet - University of Washington Autism Center online?

Editing this PDF on PrintFriendly is straightforward and user-friendly. Simply upload your file and use our editing tools to make changes as needed. Customize the document to reflect the most up-to-date information for your needs.

  1. 1

    Upload the PDF you wish to edit.

  2. 2

    Use our editing tools to modify text or images.

  3. 3

    Save your changes to the document.

  4. 4

    Review the changes to ensure accuracy.

  5. 5

    Download or share the edited PDF as needed.

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.

importantDates

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.

formPurpose

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

This form contains multiple fields designed to collect detailed information about the client and their needs.
fields
  • 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?

This form is used when families want to initiate services at the University of Washington Autism Center. It is particularly necessary for first-time clients seeking an evaluation or intervention.
fields
  • 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.

Related Documents - UW Autism ABA Packet

https://www.printfriendly.com/thumbnails/00c3187b-714a-46e1-b838-63cb55d99033-400.webp

Preparticipation Physical Evaluation Form

The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

https://www.printfriendly.com/thumbnails/0044f6bb-200d-4feb-af5e-5418c7c49f5b-400.webp

Health Insurance Tax Credits Guide 2015

This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

https://www.printfriendly.com/thumbnails/004d5be1-e317-4428-8e2a-abdae34e3104-400.webp

TSP-77 Partial Withdrawal Request for Separated Employees

The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

https://www.printfriendly.com/thumbnails/00130a9c-16ca-4288-b930-d1b35cfc98a5-400.webp

Ray's Food Place Donation Request Form Details

This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

https://www.printfriendly.com/thumbnails/0068df9b-4e3c-483a-b634-e4a14e1ac2d7-400.webp

Pastoral Ministry Evaluation Form for Board of Elders

This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

https://www.printfriendly.com/thumbnails/006523dd-df32-4387-b7ec-377b657bab81-400.webp

Health Provider Screening Form for PEEHIP Healthcare

This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

https://www.printfriendly.com/thumbnails/00bd082a-fe2f-430f-9aec-8e73104dc545-400.webp

Common Law Marriage Declaration Form for FEHB Program

This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

https://www.printfriendly.com/thumbnails/0081b68c-5987-40c0-8165-6c4e6bc8ca16-400.webp

MyPRALUENT™ Enrollment Form Instructions and Details

This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

https://www.printfriendly.com/thumbnails/0018a923-2651-48d9-a13e-33e539f837c5-400.webp

Application for Certified Copy of Birth Certificate

This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

https://www.printfriendly.com/thumbnails/00180268-d199-44a7-8663-4a56cc1c8a54-400.webp

Torrance Memorial Physician Network Forms for Patients 18+

This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

https://www.printfriendly.com/thumbnails/009686d3-b5a9-4a32-8146-5b45159f41f6-400.webp

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone

This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

https://www.printfriendly.com/thumbnails/0088f689-5aa6-4002-a99c-c65d49060780-400.webp

Texas Automobile Club Agent Application Form

This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.