Welcome to the Ready Set Connect Enrollment process!

We’re so glad you’re here. Beginning services for your child is an important step, and our team is here to make the process as smooth, supportive, and stress-free as possible.

Below you’ll find everything you need to get started. Our intake packet helps us learn about your child, understand their strengths and needs, and ensure we can create the most effective ABA program for them.

If you ever feel unsure about a step, have a question, or just want some guidance—please call us at (603) 333-2880. Our Admissions and Insurance team is always happy to help.

Once you’ve completed the forms, simply email the full packet and required documents to RSCIntake@readysetconnect.org.

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DOWNLOAD INTAKE FORM
DOWNLOAD RELEASE OF INFORMATION FORM

Not sure how to fill out a PDF? You’ll find a simple guide at the bottom of this page to walk you through it.

What You’ll Need to Complete & Submit

Intake Packet:

  • Intake Form (contact details, insurance info, signatures)

  • Authorization & Release forms

  • Photo Release

  • Privacy Notice acknowledgment

  • Emergency/Health Form

Release of Information Form:

  • Completed and signed (allows us to coordinate care and request/send records as needed)

Required Attachments:

  • Diagnostic evaluation

  • Letter of medical necessity from your child’s physician

  • Copies of insurance cards (front & back)

  • Verification of ABA coverage from your insurance provider

  • Any applicable school or service documentation

It’s very important that all forms and required documents are filled out completely and submitted before your appointment date. This includes personal information, insurance details, and all necessary signatures. Having everything ready in advance helps us begin services for your child without delays.

Ready Set Connect Autism Center

How to Complete a Fillable PDF

If you're using a computer:

  1. Download the PDF to your device.

  2. Open it using Adobe Acrobat Reader (free download) or your computer’s built-in PDF viewer.

  3. Click into each box to type your responses.

  4. For checkboxes, simply click the box to mark it.

  5. Add your digital signature if prompted, or print/sign/scan if preferred.

  6. Click Save after completing each page.

  7. Email the completed forms to RSCIntake@readysetconnect.org.

If you're using a phone or tablet:

  1. Download the PDF to your device.

  2. Open it using a free app like:

    • Apple Files (iPhone/iPad)

    • Adobe Acrobat (iPhone/Android)

    • Google Drive PDF viewer

  3. Tap into each field to type.

  4. Use your finger to draw your signature when needed.

  5. Save the document.

  6. Email it directly from your device to RSCIntake@readysetconnect.org.

If you cannot fill it out electronically:

Thank you again for choosing Ready Set Connect. We truly appreciate your trust, and we’re excited to receive your intake information and begin this journey with you and your child. We look forward to connecting soon!