Begin Your ABA Journey Today

Complete the form below and a Forta representative will contact you within 48 hours to answer your questions and determine if you're a good fit for online ABA therapy. We'll then assign your clinical team, complete your assessment, and handle all insurance approvals so you can begin therapy from home.

First Name*

Last Name*

Email Address*

Phone number*

Zip code*

State*

Age of Child*

Does your child have an ASD diagnosis?*

Does your child have health insurance?*

Child’s Primary Insurance

State*

Type*

Name*

Child’s Secondary Insurance

State*

Type*

Name*

How did you learn about us?

I agree to the Electronic Communications Policy and consent to Montera, Inc. (d/b/a Forta) and its direct and indirect parents, subsidiaries and affiliates, and all of its past or present directors, officers, representatives, and employees communicating with you through nonsecure methods like Text messages, email, and other forms of electronic communication.*

Do you consent to open text communication?

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