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Register for Intake Appointment

We are excited to meet you! Please fill out the form below and let us know which program you might be interested in joining. If you’re not sure of the program you’d like to register for, simply contact us for an intake interview and we will determine the best program for your needs at the time of the intake appointment. See our Programs page for more information on programs available.

Criteria for participant interested in attending our programs

  • At least 18 years of age and have completed high school
  • Has Autism Spectrum Disorder – ASD (includes Asperger’s Syndrome, PDD-NOS)
  • Fundamental communication skills – ability to communicate verbally
  • Does not require one-on-one intervention and/or prompting for safety, behavioral support or comprehension

If the individual applying meets this criteria, please fill out and submit this form. We will contact you about your interest in attending our program(s).

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