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40 Southbridge St., Suite 202
Worcester, MA 01608
508-926-8910
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508-926-8910
info@ftfbc.com
40 Southbridge St., Suite 202
Worcester, MA 01608
Quick Consult
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I confirm that I am a professional seeking consultative services in relation to the clients in my professional care.
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BCBA
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Pediatrician/Family Physician
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OT
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I confirm that I have all necessary consents to discuss these matters and have taken all necessary steps to protect personal and confidential information of my clients.
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I acknowledge that services provided are consultative in nature and may require the involvement of a certified behavior analyst (BCBA) who will be responsible for the implementation and daily supervision of the assessment and treatment procedures, staff training, parent training, and follow-up.
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I assume all responsibility for all aspects of consumer and caregiver care and safety, and program administration with respect to the case(s) discussed during the consultation. Any liability arising from the provision of services and the adoption of any recommendations provided by the consultant will be my sole responsibility.
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In order to assist FTF in assigning a consultant with the most relevant expertise, identify all relevant concerns and provide a brief summary of the case(s) that you plan to discuss during the appointment.
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Practical Functional Assessment and Skill-based Treatment
Sleep
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Severe Problem Behavior
Staff/Parent Training
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Balance/prevention programs
Toilet training
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Please provide your availability, in hour long increments, for the next 5 days. Please include the times in Eastern Standard Timezone.
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