Company Forms
Main Phone and Fax (907) 931-5548
Info@BehaviorIndependence.com
ABA Welcome Packet
In order to receive services with Behavior Independence, please complete the Welcome packet and submit to Info@behaviorIndependence.com
Please contact Info@behaviorIndependence.com to receive an easy to complete Adobe version of the Welcome Packet.
Clinical Screening
To complete the Clinical Screening please click the link to open in a new window.
Parent Handbook
Everything you need to know about your child’s services can be found in the Parent Handbook. Please be sure to review regularly.
Health & Wellness Policy
Policies in regards to your child’s health and wellness can be found here. If you have any questions please contact the Office Administrator at 907-931-5548 or Info@behaviorindependence.com
HIPAA Manual
Policies in regards to your child’s Health Insurance Portability and Accountability Act can be found here. If you have any questions please contact the Office Administrator at 907-931-5548 or Info@behaviorindependence.com
ROI
Release of Information can be found here. If you have any questions please contact the Office Administrator at 907-931-5548 or Info@behaviorindependence.com
Emergency Medication Authorization
If your child requires emergency medication please be sure to have your prescribing physician and yourself complete the attached form and submit to our Office Administrator at info@behaviorindependence.com
Request for Records
In order to request any of your child’s records from Behavior Independence, we require a formal request by completing the above Request for Records form and then submitting it to the Office Administrator at info@BehaviorIndependence.com