Ben Theisen

Trainaba - RBT Parent Verification Form Checklist

Use this form in California to verify insurance billable and regional center billable hours for RBT services. See Title 17 (Lanterman Act) for most current billable hours requirement. Use of this tool does not guarantee compliance for your specific company, service code, or vendor requirements. (Note: This document is in beta mode.)

Use this Digital Checklist

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Use this Digital Checklist

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Audit

Upload photo of signed paper billing form (if applicable).

Was today's session completed as scheduled?

Location of services delivered

Session start time

Session end time

Name of client receiving services

Name of parent receiving services

Parent signature (or adult in charge)

RBT signature

Ben Theisen

TrainABA - RBT Parent Verification Form

Use this Digital Checklist

Print as PDF

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.