Client Intake Form
Please fill out our intake form to begin the intake process. Please be sure to include as much of information as possible. Your availability, location, and benefits are the main factors we review at this stage. Make sure that we have your most current contact information and insurance details to help us complete the benefit verification process.
We will use the information included on the intake form to determine your benefits and eligibility. TLC accepts insurance coverage on a case-by-case basis.
We are currently a participating provider with the following insurance companies:
Anthem Bluecross Blue Shield
Culinary Health Fund
Healthscope – Clark County Self Funded
We also offer a self-pay option and third party assistance from Autism Treatment Assistance Program (ATAP) and Desert Regional Center (DRC)
Don’t see your insurance listed? Contact us to determine your payment options!
Call (702) 877-2520