New Clients Ready to enroll your child in Aurora Behavior Services’ therapy services? Please complete the form below. Guardian/Parent * First Name Last Name Client * First Name Last Name Phone * (###) ### #### Email * Primary Insurance * Does the client have an Autism diagnosis? * Yes No Please upload your documents using the links below: Diagnosis IEP Medications Most recent physical Other related documents Thank you for your form submission. We look forward to being in touch with you soon.