Intake Form & Info About Insurances

If you would like to find out if your health insurance covers ABA therapy, please complete The Puzzle Place’s Secure Intake Form. Once you have electronically submitted your information we will contact you within 48-hours.

We work with many insurances- see below form for more information on our Insurance Policy

    Primary insured full name *

    Primary insured date of birth

    Child's Name

    Child's Date of Birth

    Your Email*

    Phone Number


    Insurance carrier

    Member ID


    Insurance # for providers (back of insurance card)

    Upload a copy of the insurance card (optional)

    Additional Information

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    You may be eligible for special insurances and allowances when you have a child with special needs. Here at The Puzzle Place we try to help our parents with the costs of therapy by involving the insurance companies. Most insurance plans cover ABA therapy for an Autism diagnosis. We accept most insurance carriers and are happy to help you get on board. For more information click one of the following links: 

    The Puzzle Place

    A Playful Approach to Serious Therapy