Para Español Llama:  407-978-6085

Call Us:  321-972-4039

Camen Behavioral Services New Patient Registration Form

New Clients!

Step 1:

Download and fill out your Registration Form and Welcome Letter.

Step 2:

Determine your funding source:

  • iBudget
  • CDC+
  •  Medicaid State Plan

      (Medicaid state plan is for individuals diagnosed with Autism (F84.0) and an AHCA approval letter is required to receive services.)

  • Private Pay
  • PLSA

Step 3:

Collect, download, and fill out any necessary paper work for your funding source:

Step 4:


Contact our referrals coordinators with any questions and submit forms to:

email: phone: 321-972-4039 ext 3

We understand you have many options when it comes to addressing your child's behavioral concerns, and we thank you for choosing CAMEN!