Adler Center For Special Needs

Our Intake Process

All our programs begin with an Intake Form/Questionaire (on right) that

allows us to determine the skills that your child already possesses, as

well as those in need of strengthening. Once we have a comprehensive

understanding of your child’s needs, we are able to develop an

individualized curriculum.

Documents such as IEP's (Individualized Education Plans) and

BIP's (Behavior Intervention Plans) help us develop short-term

goals and objectives.

How to Set Up Your Child’s Intake.*

The following are options you can choose to access and submit your child's

intake forms.

• Through Our Website: Please download, complete and SAVE the form above. You can bring

the completed form with you at the time of the interview or email it back in advance by attaching

and sending to: Sharon Hanover, shanover@miyjcc.org.

• Call The Adler Center Office: (516) 822-3535, x303

• Pick up an Intake Form at the MIYJCC: 45 Manetto Hill Road, Plainview, NY 11803

Once the form is submitted, you will be contacted to schedule an interview with you and your child.

Please include a copy of your child’s IEP (Individualized Education Plan) and BIP (Behavior Intervention Plan) when mailing in or dropping off forms, or you can bring them with you at the time

of the interview.

*All information is kept strictly confidential.

Note: Ask your health insurance provider if they offer reimbursement for services.

Try A Class For Free

Following your interview, your child is welcome to try out a free class prior to registration. This is a great introduction into the program and allows your child and our staff to get to know each other.