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Social Skills Registration

Please fill out the information below if you are interested in registering your child in registering for our Social Skills Program, and we will reach out to you shortly to provide more detailed information.

Insurance providers accepted by RCS:

Please fill out the information below if you are interested in our Social Skills Program, and we will reach out to you shortly to provide more detailed information.

Please indicate your interest in the RCS Social Skills Program:*

Seeking general information about the Social Skills Program

Parent/Guardian Information

Parent/Guardian First Name*

Parent/Guardian Last Name*

Email*

Phone*

Alternate Phone

Town / City*

How did you hear about us?*

Best way to contact:*

Phone

No preference

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Client Information

Client First Name*

Client Last Name*

Client Date of Birth*

Does the client have an official autism (ASD) diagnosis?*

Yes

Details:

Is the client currently receiving services through RCS?*

Yes

Is the client currently receiving ABA services from another provider (other than RCS)?*

Yes

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Insurance Information

Insurance Provider*

Secondary Insurance Provider (if applicable)

Please let us know about any specific questions you have about our program:

Preparing for the next steps:

Once our Admissions Team reaches out, you will need to complete information within our secure and HIPAA compliant online system, School Docs. Additionally, the following supplemental documents are required for insurance authorizations:

✓ Full diagnostic evaluation (must include ASD diagnosis information; F84.0)

✓ Updated letter of diagnosis

✓ Most recent physical

Error occured. Please confirm your data and submit again:

Upcoming Events

November 24, 2021 – Day before Thanksgiving ~ No Services after 2PM
November 25, 2021 – November 26, 2021 – Thanksgiving Break ~ No Services
December 17, 2021 – Staff Professional Development ~ No Services
December 20, 2021 – December 24, 2021 – Winter Break - No Services
December 31, 2021 – New Year's Eve ~ No Services after 2PM

Contact

RCS Behavioral & Educational Consulting
6 Strathmore Road
Natick, MA 01760
508.650.5990 t
508.861.0600 f

RCS Early Childhood Office
12 Gill Street, Suite 1650
Woburn, MA 01801
508.650.5990 t
508.861.0600 f