Initial Contact Form

Please provide your contact information and describe your main concerns. We’ll then schedule an initial evaluation with our team of therapists and answer any questions.

We can only accept private insurance now and do not accept Medicaid.

Website Contact Form

Parent Full Name

Home Address

Phone Number

Email Address

Patient Name

Patient Date of Birth

Private Health Insurance Plan

(We do not accept Medicaid)

I am interested in:

Does your child already have an autism diagnostic evaluation report?

Yes

What challenging behaviors does your child have?

How did you hear about us?

If you are human, leave this field blank.

We understand that getting your child the best possible care is your main focus—it’s ours, too! Call us with any questions.

Initial Contact Form

(713) 218-9947

Monday – Friday
8:00 am – 6:30 pm

(713) 218-9947

Initial Contact Form

(713) 218-9947

Monday – Friday8:00 am – 6:30 pm

(713) 218-9947

Monday – Friday
8:00 am – 6:30 pm