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  • Welcome to Harmony Autism Therapy's

    MILESTONE 2 out of 4

    Patient Profile

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     This form should take about 15 minutes to complete. You will be asked about your child's strenghts and areas of need in speech and language, social and behavior.

    It is important that you answer these questions with two factors in mind: 

    1) Does your child demonstrate the skill consistently (on a daily basis/at least 90% of the time)?

    2) Does you child demonstrate the skill independently (without any prompts)?

    Please take the time to share as much detail as you wish. The more information we are given, the less time we will need to take getting the information later.

     

    Thank you for choosing Harmony Autism Therapy for your child’s ABA therapy needs!

    We look forward to helping your child achieve a life with full potential!

     

  • Patient Information

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    • Speech & Language Skills  
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    • Social Skills  
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    • Behavior  
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    • Reinforcers  
    • In order to begin teaching your child, we need to identify HIGHLY PREFFERED items/food/activites in order to maintain your child's motivation. 

       

    • Additional Information  
    • Signature  
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