Contact Us

We are looking forward to connecting with you!

Your Name*

Contact Email*

Contact Phone Number*

What are you requesting?

Information about the clinic

Services for my child

An internship at the clinic

Other (The clinic does not offer diagnostic services.)

If other, please specify

If you are interested in services for your child:

How old is your child? We currently offer services to children ages 3 up to 5 years old.

Does your child have an Autism diagnosis report in place?

Yes

Name of insurance that covers ABA services

Requested days/times for services

Do you have any additional questions about the UofM Autism Clinic and our services? The clinic does not offer diagnosis services.

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