New Consumer Intake Form
Ability Matters is an I/O, Level 1 waiver, and Autism Scholarship Program provider agency that emphasizes community inclusion and serves individuals with disabilities in Franklin and surrounding counties. With an individual program for each client, Ability Matters believes that all individuals can contribute to their community and reap many benefits from community involvement. Employing care providers with specialized training and experience, Ability Matters is able to accommodate clients with a variety of social and behavioral needs. Ability Matter’s CEO, Dr. Kristyn Miller, has a Ph.D. in Applied Behavior Analysis and Special Education, allowing her to implement programming for a wide range of diverse clients. For more information, please visit our website at www.abilitymattersohio.com or email info@abilitymattersohio.com.
Individual's name *
Your answer
Date of birth *
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Waiver type *
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Services you are seeking *
Required
Days and times services are needed *
Your answer
Individual's diagnosis *
Your answer
Is the individual verbal? *
Does the individual have behaviors? *
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