Get Application - Texana Center

The Application - Texana Center is an essential document for accessing services at the Texana Center for Autism. Completing this application accurately and thoroughly ensures a smoother process for your child’s enrollment in programs offered by the center.

Follow the steps to complete the application effectively.

1. Press the ‘Get Form’ button to obtain the Application - Texana Center and open it in your editor.
2. Begin by entering today's date in the provided field at the top of the form.
3. Fill out the identifying information section, which includes your child's name, social security number, date of birth, age, and diagnosis. Ensure that you provide accurate details as they are critical for processing the application.
4. Enter the parent or guardian's name, relationship to the applicant, and contact information including address, phone number, and email.
5. Complete the section about primary language spoken at home and the current educational or treatment setting.
6. If applicable, fill in the Medicaid or CHIP coverage details, or indicate if private insurance applies. Provide necessary information such as policy number and insurance company details.
7. Complete the diagnostic information section by indicating the presence of any additional impairments and the level of independence your child has in various self-help skills.
8. Answer the behavior status assessment questions by checking all that apply and providing details where necessary. This section helps to understand your child's behavioral patterns and communication skills.
9. Review the program descriptions and ensure you meet required diagnoses and documentation for the selected program.
10. Gather any additional paperwork needed for admission, such as proof of diagnosis or insurance verification, as indicated in the application.
11. Once you've completed all sections and attached the necessary documents, save your changes. You may choose to download, print, or share the completed application as needed before submitting it.

Complete your application for services online today to ensure your child receives the support they need.