Forms & Policies

This page is divided into three sections. Please utilize the first section to carefully review our policies and procedures. The second section contains the various forms that will need to be completed for treatment. If you are a new client, please begin with the 'Enrollment Form'. The final section is for your reference.

Information & Policies

Below, please find a comprehensive listing of our current policies and procedures. After reviewing each document carefully, please make sure to submit the 'Policy Consent Form' found in the subsequent section.

COVID 19 Policies

ABA Policies & Procedures

Cancellation Policy

Coordination of Care Policy

Arrival & Departure Policy

Peanut & Tree Nut Free Policy

Limits of Expertise Notice

Parent's Guide to ABA Therapy

Frequently Asked Questions

Payment Policy

Discharge & Transition Policy

Rules & Regulations

HIPAA Notice of Privacy Practices

Online Forms

For your convenience, the following forms can be completed and submitted online through our HIPAA compliant form service.

Policy Consent Form

Enrollment Form

ABA Services Consent Form

Service Agreement

Release for Photographs, Audio & Video Imagery

Group Participation Consent Form

Permission for Electronic Transmission of Information

Authorization to Bill for Services

Allergy Form

Client Drop-Off & Pick-up Authorization

Emergency Medical Authorization

Parent Participation Form

Patient Confidentiality Contact Form

Special Family Considerations

Medical History Assessment

Printable Forms

A Starbright ABA staff member will walk you through filling out these forms during an in-person meeting. We've made them available here for you to review and/or print beforehand, if you wish.

Referral, Diagnosis Evaluation and Insurance Form

Credit Card Authorization Form

Medical Information Release Form