Please fill out the information below and we will respond with a specialist recommendation within 24 hours. 


The more information that you share, the better we can match you with the right person.

Where do you reside? (this impacts whether you are matched with a neurodiverse therapist or a neurodiverse coach).
Your therapist or coach preferences:
I am interested in an assessent for:
Would you like a family member, partner, or friend to be part of the assessment process?
We also provide additional therapy AFTER the formal assessment process. Our fee per 50 minute therapy session varies based on life experience, clinical experience, training, education (master's, doctorate), and special certifications. Please indicate the fee you are able to pay and we will do our best to match you with the appropriate professional.

Information shared on this intake form may be viewed by members of the Adult Autism Assessment Center staff to match you with the therapist who is the best fit for you. 


By entering your information, you will be added to our mailing list; however, you will be given the option to unsubscribe at any time.

Thanks for Submitting!