Resources Medicaid: http://new.dhh.louisiana.gov/index.cfm/page/237Evidence Based Treatments: http://www.asatonline.orgIntake Form: Download PDF Form Client Intake Form Parent/Guardian(s) Name (required) Your Child's Name (required) Child's Date of Birth (required) Primary Address (required) Phone Number (required) Email Address Name of Insurance (required) Child's Diagnosis (required) Specific Behaviors seen (required) Any Extra Comments