Get Started

Reach out today to see if LifeSpeed is the right fit for you and your family.

4 Simple Steps

These are the key steps that must be accomplished prior to the start of ABA services.

Once completed, the assigned BCBA will introduce you to the team of Therapists who will begin working directly with your family to achieve the goals outlined in the Treatment Plan.

1

Intake Form

Complete an Initial Intake Form below and our Client Services Coordinator will contact you.

2

Phone Screening

We verify private insurance benefits, coordinate HCBS Waiver funding, and schedule an in-person follow-up meeting at a mutually convenient location.

3

Intake Meeting

A team member will meet with your family to clarify expectations, answer questions, discuss goals, and review the terms of our ABA Service Agreement & Consent.

4

Assessment & Plan Development

The BCBA will conduct a Functional Behavior Assessment, consisting of interviews, observations, and skill probes; a Treatment Plan will be created based on caregiver goals and client input.

Intake Form

Please complete the Intake Form below to learn more about our ABA Programs for Early Learners, Teens, Young Adults & Adults.
We look forward to hearing from you!

"*" indicates required fields

First Name*

Last Name*

Email*

Phone*

Date of Birth*

Parent/Guardian Name(s)

Address*

Street Address Address Line 2 City ZIP / Postal Code

What Service Are You Interested In?*

Funding Source*

Client's Diagnoses*

Presenting Concerns*

Current Medications and Dosages (e.g., Lexapro, 10mg per day administered in the AM)*

Select Day For An Intake Meeting:*

Time*

Select Alternative Day For An Intake Meeting:*

Altnernative Time*

Please Upload Both Front/Back of Your Insurance Card*

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Our Locations

Admin Office

721 South Blvd Ste. 210, Oak Park, IL 60302

(312) 404-7225

Early Learning Center

1110 North Blvd, Oak Park, IL 60301

(312) 404-7225