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Intake Packet
At this time we have openings for early intervention services.

Please allow a 1 week response time when sending in intake forms.

The intake packet is one of the first steps in starting services at Ruby Beach Behavioral Pediatrics, LLC. Please download the form using the link below and return it via fax 904-485-8298 or email

Other relevant documentation that is helpful, but not required, to submit with the intake packet includes:

  • Psychological Evaluations

  • Speech Evaluations

  • Occupational Therapy Evaluations

  • Individualized Education Plans

  • Any other assessments pertaining to developmental goals

Please call our office at 904-415-1609 with any questions. We look forward to serving your family! 

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