Meeting Request Form Childs Name * First Name Last Name Caregiver / Parents Name First Name Last Name Email * Reason for Meeting Biweekly/Monthly Progress New concerns Change of Program Request Other URGENT meeting ARD (Admission, Review, Dismissal) If the reason for the request is OTHER, please describe. If the reason for meeting is ARD, please specify date and time Would you like to meet: In person Telehealth Meeting time frame: 30 mins 1 hr 1.5 hr 2 hr Please provide 3 options for the best time. Available time for meetings : Mon-Friday from 9am to 12pm Afternoon requests or special times will be upon requests for Tuesdays 5pm to 7 pm. Thank you! Your request has been submittedPlease be patient as our team reviews your submission, which may take up to 48-72 business hours. Meetings will be scheduled based on BCBA’s availability, units available per insurance, and in order of urgency.
