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Authorization Forms

Providers can click the authorization form they need to download it. Instructions on how/where to submit the completed form are included at the bottom of the form itself.

  • Applied Behavior Analysis (ABA) request forms
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  • Transcranial Magnetic Stimulation/Electroconvulsive Therapy (TMS/ECT) Authorization form
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    It's never too late to quit smoking. Make today the day you stop. Every day without smoking counts!

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