ABA Service Request - Eugene/Springfield
New Summit only accepts new clients from 1-7 years of age and requires a commitment of a minimum of 4 therapy sessions per week, which is approximately 10 hours of therapy.

Morning (8:45-11:30) and afternoon (12:15-3:00) time slots are more likely to open throughout the year compared to the evening slot (3:30-5:45). Availability indicated needs to extend through the 2024-2025 school year to be brought on as a client. 

This form is secure and HIPAA compliant so your information will stay safe. If you have any questions or concerns, email us at info@newsummitaba.com or call 541-224-6987.

New Summit mainly communicates via email. Please be sure to add our email to you contacts list: Info@NewSummitABA.com.

All the best,
New Summit Behavioral Therapy
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Email *
Child's Name: *
Child's Birthday: *
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Parent/Guardian(s) Name(s): *
Phone Number: *
Address: *
Preferred Method of Contact
Does the child have an autism diagnosis? *
Does the client have any additional diagnosis? If yes, please indicate them.
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