New Summit Behavioral Therapy ABA Request - Bend

New Summit accepts new clients between the ages of 1 to 7 years old and requires a minimum commitment of four therapy sessions per week, totaling approximately 10 hours of therapy.

Please note that morning (8:45–11:30 AM) and afternoon (12:15–3:00 PM) time slots tend to open more frequently throughout the year. Evening slots (3:30–5:45 PM) are more limited. To be considered for services, your indicated availability must extend through the 2024–2025 school year.

This form is secure and HIPAA-compliant, ensuring your information remains protected. If you have any questions or concerns, feel free to reach out to us at info@newsummitaba.com or call 541-224-6987.

We primarily communicate via email, so please add info@newsummitaba.com to your contacts to avoid missing important updates.

Completing this form will place your child on our waitlist. When an opening that matches your availability becomes available, a member of the New Summit team will reach out to you.

Warmly,
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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