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Intake Forms

Below are the links to intake forms for Medicaid Waiver, Private Pay, and Group Sessions

*Please note that we are currently working on Provider Approval for Waiver Services, and will not be able to began services until approved by BDS

Which service is for me?

Not sure where to start? Below are the descriptions for different services

Waiver Intake

For individuals seeking Music Therapy through the Medicaid Waiver--state funded services for individuals with qualifying disabilities and diagnoses (Autism Spectrum Disorder, Down's Syndrome, Cerebral Palsy, developmental delays, etc). For more information, click here

*Please note that we are currently working on Provider Approval for Waiver Services, and will not be able to began sessions until approved by BDS

Private Pay Intake

For individuals who are seeking Music Therapy services, but will be paying out-of-pocket. Anyone can benefit from personalized, 1:1 Music Therapy!

Group Intake

If you are signing up for a Music Therapy Group (Baby Beats, Tempo Tots, etc), please fill out this intake to reserve your spot!

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