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3600 S State Rd 7 STE 344 Miramar, FL 33023
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About Blooming
About Blooming
Meet the Team
Diagnostic & Treatment
What is ADHD?
What is Autism?
What is Oppositional Defiant Disorder (ODD)?
What is Global Developmental Delay (GDD)?
About ABA
About ABA Therapy
Location of Services
Social Skills Groups
Benefits of ABA Therapy
Intake Process
FAQs
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Reference Form
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Patient's Name
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Phone
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D.O.B
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Email
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Address
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Address Line 1
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Concerns with Child's development or behavior
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Child's Diagnosis (Please check all that apply):
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Autism
ADHD
Anxiety
Learning Disability
Stereotypes
Self-injurious behaviors
Aggression
Impulsivity
Inattention
Tantrums
Hyperactivity
Sensitive to change
Failure to comply with instruction
Inability to stay organized
Interpersonal relationship dysfunction
Ritualistic Behaviors
Oppositional / Defiant Behavior
Property Destruction
PICA/ Mouthing
Insurance (If known):
Medicaid
Medicaid HMO
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Setting (choose one or more)
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School
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Availability (choose one or more)
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