Getting started

New client intake

Complete the intake form below and we'll verify your insurance within 2–3 business days. Because ABA therapy requires a significant weekly commitment, we'll add your family to our waitlist and reach out as soon as a space that fits your schedule becomes available.

The process

From inquiry to first session

Here's exactly what happens after you submit your intake form.

Submit your intake form

Complete the form below — it covers your family, insurance, diagnosis status, required consents, and scheduling availability. Takes about 10–12 minutes.

Scroll down to begin

Insurance verification

We verify your benefits and confirm ABA coverage — typically within 2–3 business days. We'll contact you with any questions or to discuss private pay or single-case agreement options.

2–3 business days

Waitlist placement

ABA therapy works best with consistency and requires a real commitment from families — most children benefit from 10–30+ hours of services per week. We match openings to each family's preferred schedule, so your family is placed on our waitlist and we reach out as soon as a space that fits becomes available.

We'll reach out when a space opens

Initial consultation

Our BCBA meets with you and your child to discuss goals, review existing evaluations, and begin building the relationship. In-person or telehealth.

In-person or telehealth

Assessment & program design

A comprehensive skills assessment is conducted and an individualized treatment plan is developed around your child's unique profile and your family's goals.

Services begin

Sessions start with your assigned behavior technicians under direct BCBA supervision. Data is collected at every session and programs are reviewed and updated regularly.

Ready to begin?

ABA services intake form

Tell us about your family, insurance, diagnosis status, required consents, and scheduling availability. Your information is sent securely to info@beautifulmindssd.com and kept strictly confidential.

Parent / guardian information

Who should we contact about your child's services?

Full name *Required.

Relationship to child *Required.

Phone number *Required.

Email address *Valid email required.

Home address *Required.

City *Required.

State *Required.

ZIP code *Required.

Child information

Child's first name *Required.

Child's last name *Required.

Date of birth *Required.

Sex *Required.

Diagnosis status

This helps us route your family to the right next step.

Yes, my child has a diagnosis No, not yet diagnosed In process / awaiting results

Please select one.

Diagnosis

Date of diagnosis (approximate)

You can email a copy of the diagnosis report to info@beautifulmindssd.com after submitting.

No problem — Beautiful Minds works with a network of trusted diagnosing physicians and can help coordinate the evaluation referral process. We'll follow up with next steps for getting your child assessed.

Insurance information

Don't see your plan listed? Select "Other" — we can often still help through a single-case agreement.

Primary insurance *Required.

Policy / member ID number

Name of policyholder

Single-Case Agreement: We're happy to pursue a single-case agreement with your insurer. After you submit this form, our team will contact you to discuss the process and explore your options.

Scheduling availability

ABA therapy works best with consistency, and it requires a meaningful time commitment from families — most children benefit from 10–30+ hours of services per week. We need a clear picture of what schedule works for your family before we can match you with a team.

Preferred days *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Flexible / any day

Please select at least one day.

Preferred time of day *

Mornings Afternoons Evenings Flexible / any time

Please select at least one time of day.

Hours per week your family can commit to *Required.

Preferred service location

Home Session Environment Standards. Families hosting home-based sessions are expected to ensure the environment meets the following minimum standards: a dedicated, reasonably quiet session space with minimal distractions; reinforcers and materials available as requested by the clinical team; all firearms and weapons secured and inaccessible; medications stored out of reach of the child; pets secured away from the session space for the duration of the session; and no active substance use in the home during session hours. Beautiful Minds reserves the right to pause home-based services if safety concerns cannot be adequately addressed.

I have read and will maintain the Home Session Environment Standards described above for any home-based sessions.

This acknowledgment is required for home-based services.

Additional scheduling notes

A bit more

Primary reason for seeking services *Required.

Preferred contact method

Phone callText messageEmail

Consents & authorizations

These mirror the paperwork you'd normally complete in our office. Please review each section and respond below.

Acknowledgment of Receipt — Notice of Privacy Practices. Federal law (HIPAA, 45 CFR §164.520) requires Beautiful Minds, PLLC to provide you with a Notice of Privacy Practices (NPP) describing how we may use and disclose your child's protected health information (PHI). Our NPP is included in the Parent Handbook and is available at our office or upon request at any time. View the Notice of Privacy Practices

Our Notice of Privacy Practices describes: how we may use and share your child's health information; your rights to access, amend, and request restrictions on your child's PHI; how to request confidential communications; and how to file a complaint if you believe your privacy rights have been violated.

I acknowledge receipt / offer of the Notice of Privacy Practices I decline to sign this acknowledgment

You are not required to acknowledge this notice. Declining does not affect your child's right to receive services.

Please select one option.

Consent for Initial Assessment. Before an individualized treatment plan can be developed, our BCBA conducts an initial assessment to understand your child's strengths, needs, and skill profile. This may include a functional behavior assessment, skills and developmental assessments, record review, caregiver interview, and direct observation, using standardized and/or informal assessment tools as clinically appropriate.

Assessment data is collected and stored the same way as ongoing session data, consistent with our Notice of Privacy Practices and HiRasmus access described above. No behavior-change treatment or intervention will begin until the assessment is complete and your BCBA has reviewed the resulting individualized treatment plan with you.

I confirm that I am the parent or legal guardian of the client named above, that I have the authority to consent on their behalf, and that I give consent for Beautiful Minds, PLLC to conduct the initial assessment described above.

This consent is required.

Consent for Applied Behavior Analysis (ABA) Services. Please read carefully. By checking below, you are giving informed consent for your child to receive ABA services through Beautiful Minds, PLLC.

Nature of services: ABA is an individualized, evidence-based treatment used to build meaningful skills and reduce behaviors that interfere with learning, independence, or safety, including functional behavior and skills assessment, skill acquisition programming, behavior reduction protocols, parent/caregiver training, and collaboration with schools and other providers (with separate signed authorization).

Service delivery: Services are designed and supervised by a Board Certified Behavior Analyst (BCBA). Direct therapy may be delivered by Registered Behavior Technicians (RBTs) or Behavior Technicians under BCBA supervision, in clinic, home, school, or community settings as authorized and clinically appropriate.

Data & records: Data is collected each session to monitor progress and guide clinical decisions, and is stored securely in our HIPAA-compliant electronic health record system. We use HiRasmus to manage your child's data and session notes, and as a parent/guardian you will have ongoing access to your child's data and notes through HiRasmus at all times. You may also request copies of your child's records at any time.

Risks, benefits & alternatives: ABA is widely recognized as an effective, evidence-based intervention. As with any behavioral treatment, some clients may initially show a temporary increase in challenging behavior as new expectations are introduced. You are not required to enroll your child in ABA therapy — alternatives may include speech-language therapy, occupational therapy, special education services, and other developmental supports. Your BCBA can discuss these options and any individualized considerations with you.

Withdrawal of consent: You may withdraw consent for services at any time by notifying Beautiful Minds, PLLC in writing. Withdrawal will not affect any services already received; we ask for two weeks' notice when possible to support a smooth transition.

I confirm that I am the parent or legal guardian of the client named above, that I have the authority to consent to treatment on their behalf, and that I have read, understood, and had the opportunity to ask questions about this Consent for ABA Services and the Beautiful Minds Parent Handbook.

This consent is required.

Consent for Use of Edible Reinforcers. Effective ABA therapy depends on identifying items and activities that motivate your child. In some cases, food or beverage items (edible reinforcers) are the most effective motivators for learning, particularly early in treatment. If your child's BCBA determines edible reinforcers are clinically appropriate, small amounts of preferred food or beverage items may be offered during sessions as rewards for target behaviors and skill acquisition. Your BCBA will discuss which items may be used and obtain your input and approval before use, use small quantities appropriate to the session, document use in the treatment plan, conduct ongoing preference assessments, and work to transition away from edibles as clinically appropriate.

It is your responsibility to inform Beautiful Minds, PLLC of all known food allergies, dietary restrictions, and medical or religious dietary requirements before services begin and any time this information changes. We will strictly honor all documented restrictions.

Allergies / dietary restrictions * Required — write "None" if not applicable.

I give consent for Beautiful Minds, PLLC to use edible reinforcers as part of my child's ABA programming, subject to the restrictions documented above. I understand this will be discussed with me in advance, documented in the treatment plan, and adjusted based on my child's preferences and clinical progress, and that I may withdraw this consent at any time by notifying the clinic in writing.

This consent is required.

Financial & Cancellation Policy. I understand and agree to the following fees, which are not billable to insurance and are my responsibility as the family:

24 hours' advance notice is required to cancel or reschedule any session.
Late cancellation / no-show: $75 (South Dakota Medicaid clients are exempt per SD Medicaid policy; attendance expectations still apply).
Late arrival: $20 per 15-minute increment, beginning at 8 minutes late to a clinic session.
Late pickup: $5 per minute after a 5-minute grace period.
Returned checks: $25.

I have read and agree to the Financial & Cancellation Policy described above.

This acknowledgment is required.

Authorization to bill insurance (assignment of benefits). I authorize Beautiful Minds, PLLC to submit claims to my insurance carrier on my child's behalf and to receive payment directly from my insurer. I understand I remain responsible for any deductible, copay, or non-covered charges.

This authorization is required.

Electronic signature

By typing my full legal name below, I am electronically signing this form in place of a physical signature, and confirming that I am the parent or legal guardian identified above with authority to provide the consents and authorizations addressed above.

Signature (type full legal name) *Required.

Date *Required.

What else you'll receive

A few additional documents aren't part of this intake form and will be sent to you separately as we move forward:

Emergency contacts form
Release of information (ROI)
Parent Handbook — also available anytime in HiRasmus

Your information is sent securely to info@beautifulmindssd.com and is kept strictly confidential.

You're on the list!

Thank you for filling out our intake form. We have received your information and have added you to our waitlist. We will reach out as soon as a space becomes available. We apologize, but at this time we are not able to offer an estimated timeframe. We appreciate you reaching out to Beautiful Minds.

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Notice of Privacy Practices

Effective Date: May 1, 2026 | Beautiful Minds, PLLC | 2218 Jackson Blvd, Suite 11, Rapid City, SD 57702

BEAUTIFUL MINDS, PLLC — NOTICE OF PRIVACY PRACTICES

This Notice describes how medical and behavioral health information about your child may be used and disclosed, and how you can access this information. Please review it carefully.

Our Responsibilities

We are required by law to maintain the privacy of your child's Protected Health Information (PHI), provide this Notice of our privacy practices, and abide by the terms of the Notice currently in effect. We reserve the right to change the terms of this Notice and to make the revised Notice effective for all PHI we already maintain.

How We May Use & Disclose PHI Without Your Authorization

Treatment: We may share PHI with providers involved in your child's care.
Payment: We may share PHI with insurance companies to obtain payment.
Healthcare Operations: We may use PHI for quality improvement, audits, and staff training.
As Required by Law: Including mandated abuse/neglect reporting, court orders, and public health activities.
Serious Threats to Health or Safety: We may disclose PHI to prevent a serious threat.

Your Rights Regarding PHI

Right to Inspect and Copy: You may request copies of your child's PHI (requests may incur a reasonable fee as permitted by law). Right to Request Amendment: You may request corrections to PHI you believe is inaccurate. Right to an Accounting of Disclosures: You may request a list of disclosures we have made other than for treatment, payment, or operations. Right to Request Restrictions: You may request limits on how we use or share PHI (we are not required to agree, except in limited circumstances). Right to Confidential Communications: You may request that we contact you in a specific way. Right to a Paper Copy of This Notice: Available upon request at any time.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Beautiful Minds, PLLC at (605) 608-0833, or with the U.S. Department of Health and Human Services Office for Civil Rights at www.hhs.gov/ocr. We will not retaliate against you for filing a complaint.