one autism health, autism health, autism diagnosis, autism care assistance, autism services, aba therapy, speech therapy, occupational therapy, autism-friendly places, adhd, autism resources

Organization information

What is the name of your business/organization?

Are you a for-profit/non-profit?

Step 1

Care type

Please list all the services you provide related to serving the autism community.

Services

ABA Therapy

Adult Programs

Adult Residence and Housing

Advocacy

Adults: High-Functioning and Asperger's

After School Program and Education

Aquatic Therapy

Assistive Technology

Autism Diagnosis and Screening

Autism Support Center

Behavioral Consultation

Community Participation

Counseling

Counseling Diagnostic Center

Counseling Education

Day Camp

Dentist

Early Childhood Therapy

Early Intervention

Education

Educational Therapy

Employment Support

Financial

Food Service

Grief and Loss Resources

Grocery

Hair Salon and Barber

Homeless Services

Hotel and Hospitality

Housing

Inclusive Fitness

Informational Websites

In-Home Services

Insurance

Intensive Therapy

Legal

Life and Social Skills

Neurologist

Neuropsychologist

Nutrition and Feeding Therapy

Occupational Therapy

Parent and Caregiver Training

Parents Support

Pediatricians

Personal Care Attendants Agency

Physical Therapy

Psychiatry and Psychopharmacology

Recreation, Sports, and Entertainment

Respite

Restaurant and Dining

Safety

School Outreach and Consultation

Self-Advocacy

Services Coordination

Siblings Support

Social Skills Training

Social Work

Speech Therapy

Summer Camp

Support Program and Agency

Therapy Camp

Transition Planning and Services

Transportation

Treatments

Vision and Eye Care

Visual Immersion System

Vocational Education

Other service type

Step 2

Location details

What is your main address?

Address

City

State

Country

Zipcode

What is the best phone number to reach your office?

Step 3

Web links

What is your main website (the direct link to your website that lands them into autism services)?

What is the appointment (clickable) link on your website? This is the page on your website where people can click to set an appointment, contact you or understand your appointment process.

Step 5

Language spoken

What are the languages you speak?For example, English, Mandarin, Spanish, Tagalog; Will work with any verbal ability; Will work with translators as needed.

Step 6

Is telehealth available?

YesNo

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Step 8

Other organization locations available

What are your other locations? Please list all of your other locations (USA, Canada, and other countries).

How would you like your business/organization described in our platform? Please write an engaging description to our autism community.

Step 9

Personal details

Please provide the name/details of the person filling out this information.For example, Taylor Swift, CEO/Founder, tswift@gmail.com, 610-555-1212, 123 Main Street, Philadelphia, PA 19019

First name

Last name

Email address

Phone number

Home address

City

State

Country

Zip code

Last Step

Would you like to be added to our newsletter and/or contacted for future releases/enhancements and announcements along with an exclusive meeting with our CEO/Founder Glenda Carnate?

Yes

No

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Provider and Places Information Intake

autism health: Provider and Places Information Intake