Enrollment Online Form

If you think Cornerstone Autism Center might be an option for your child, you are encouraged to schedule an appointment to tour the center. You will be able to see the facilities and ask any questions you may have about ABA, our program, insurance, etc.

If you are interested in having your child attend Cornerstone, complete and submit an Application (you can download it here or scroll down this page for online submission). Once we receive your application, additional paperwork will be forwarded to you as well.

Enrollment Considerations

  1. Child must be diagnosed with an autism spectrum disorder. In addition to a formal diagnosis, your child will need a Care Plan letter from his or her physician indicating that ABA Therapy is a recommended treatment. A sample letter will be included in your enrollment packet.
  2. Parents must provide own transportation to and from center. Therapy hours are Monday thru Friday, 8:30 AM to 3:30 PM.
  3. Source of funding must be secure before services begin. If your child is currently insured by a group or individual policy that qualifies under the Indiana Autism Mandate, please complete a Registration Form with the appropriate information. We will verify insurance coverage and provide a summary of your benefits. We are able to bill commercial insurance carriers such as Anthem, United Healthcare, Sagamore, CIGNA, Advantage Health, etc. Cornerstone is also a registered provider with Tricare and Children's Special Health Care Services Program.
  4. If your child has insurance that does not fall under the mandate,or you are unsure of your insurance coverage, please call our center and ask about your options. We have successfully counseled many families regarding their insurance coverage in regard to ABA therapy and we are happy to guide you through the process.


Please return any completed forms via fax at 317.888.1571 or email to debbie@cornerstoneautismcenter.com. Once we have received them we will contact you to answer any of your questions and proceed with the enrollment process.

 

This form does not yet contain any fields.