To begin the Intake and Admissions Process, please complete the form below. Once we receive this form, we will begin to verify your insurance information and will contact you via email to gain more information about your child and assess which of our services are of interest to you and most appropriate for your loved one.
Please note: We do our best to ensure that the insurance benefits we relay to you are correct. However, Spectrum of Hope is not responsible for any errors or omissions conveyed to us by your insurance carrier. PLEASE BE AWARE THAT THE INFORMATION WE RELAY FROM YOUR INSURANCE COMPANY DOES NOT GUARANTEE COVERAGE.
Please Complete this Form to Start the Admissions Process
If you have a diagnostic report, please attach and email it to us here.