Physician Referral Form
Refer a patient for ABA therapy services. Only child information is required.
Referring Physician Information
All fields in this section are optional
🔒 All information is encrypted and HIPAA-compliant
Partnering for Patient Success
We value our partnerships with pediatricians, neurologists, and school districts across New Hampshire. Our goal is to provide seamless continuity of care for your patients, ensuring they receive timely, evidence-based interventions that align with your medical recommendations.
1. Referral
Submit the patient referral form securely. We accept referrals for autism assessment and ABA therapy services.
2. Assessment
Our BCBAs conduct comprehensive assessments (VB-MAPP, ABLLS-R) to establish treatment baselines.
3. Care Begins
We coordinate care with you, providing progress updates and collaborating on treatment goals.
Why Choose Buzz ABA?
No Waitlists: We are actively accepting new clients in the Concord, Manchester, and Nashua regions.
In-Network: We accept most major insurance plans, including NH Medicaid, Anthem, Blue Cross Blue Shield, and Harvard Pilgrim.
Family-Centered: Our "Parent Empowerment" model ensures you have the tools to support your child's growth outside of session hours.