top of page

Fill out this form

Book a Free Consult Session with your matched therapist

Begin Healing

Please fill out the information on the right and we will respond with a therapist recommendation within 24 hours. The more information that you share, the better we can match you with the right therapist or coach for you.

Information shared on this intake form may be viewed by members of the Parenting Autism Therapy Center staff in order 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. 

Start healing now

Asperger's symptoms are presenting for:
ADHD symptoms are presenting for:
The type of therapy I am interested in:
Your therapist or coach preference:

We do not have any non-binary therapists at this time

Where do you reside? (This impacts whether you are matched with a neurodiverse therapist or a neurodiverse coach.)
Our fee per 50 minute session varies based on factors like training & life experience. Please indicate the fee you are able to pay:

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

Wall

“While we try to teach our children all about life, our children teach us what life is all about.

- Angela Schwindt

bottom of page