We are delighted that you’re considering Rise With ABA to support your child’s growth and development. To help us understand your needs and provide the best possible service, please fill out our preliminary intake form below. This form collects basic information about you and your child, allowing us to begin the admissions process smoothly.
Please note: This is not an agreement for services, and we will not collect any HIPAA-protected information at this stage. Your privacy is important to us, and all information provided will be kept confidential.
Next Steps
After submitting this form, a member of our team will reach out to discuss your needs further and guide you through the next steps of the admissions process.
We're Here to Help
If you have any questions or need assistance completing this form, please don't hesitate to contact us at 979-627-8138 or fill out our contact form.
Thank you for considering Rise With ABA. We look forward to partnering with you to support your child's journey toward growth and success.
Note: All information collected will be kept confidential and used solely for the purpose of initiating services with Rise With ABA.