Sample Insurance Letter (California)

VIA CERTIFIED MAIL INSERT CLAIM HANDLER’S NAME CLAIM HANDLER’S TITLE CLAIM HANDLER’S CITY STATE ZIP RE: ENROLLEE’S NAME ENROLLEE’S DATE OF BIRTH ENROLLEE’S SOCIAL SECURITY NUMBER HEALTH PLAN PURCHASER’S NAME HEALTH PLAN IDENTIFICATION NUMBER CLAIM NUMBER SUBJECT: Payment Authorization for Enrollee’s autism Dear: Please deem this letter to be a formal, urgent and continuing request […]

Sample Child To-Do Check List

This document is a “sample” checklist to consider in planning intervention for a child affected by autism. Please note, the order and action items will vary by child. This is only a sample. Please consult with your child’s development and medical team for what is appropriate for their individual needs. For comments, suggestions and questions […]