Provider Application

Please complete all sections of this application.

Step 1. Complete and save the Mainspring Academy Provider Policy.

(Laptops/Desktop Only)

VIEW PROVIDER POLICY>

Step 2. Upload your Provider Policy.

Step 3. Upload your Level 2 Background Check

The Florida Department of Law Enforcement Level 2 Criminal History Record Checks is used in Florida Statutes to convey the method of the criminal history record check and the extent of the data searched. Level 2 describes a state and national fingerprint-based check and consideration of disqualifying offenses and applies to those employees designated by law as holding positions of responsibility or trust.
Step 4. (ABA Case Managers Only) Upload a copy of client treatment plan(s)

Therapists may not provide services at Mainspring Academy until the school has received a Permission for In-School Services form from the student's parent. In addition, services at Mainspring Academy may not be provided until this application is reviewed and approved by the school's Director of Programming.