The intake process is required for all individuals who have not yet received services at the UW Autism Center. To get more information about our services or the intake process you may call our intake coordinator at 206.616.8642, or email us at email@example.com.
To begin the intake process, the first step is to complete the online registration form. This must be returned to the UW Autism Center prior to scheduling your first appointment, or, if services are not immediately available, to be placed on the waiting list.
Alternatively you can download print the registration form from here to fill out and return via mail, fax, or emailed scan.
When you are matched with a provider, we will contact you to schedule your appointment. After you are scheduled, please click on the forms below, print, and complete. We are also happy to send you these forms in the mail:
- Diagnostic evaluation: Adult, or Child & Adolescent (under 18).
- Speech/Language services
- Applied Behavioral Analysis (ABA)
- a privacy notice and acknowledgement form,
- and a fee schedule.
Please return the adult or child & adolescent intake form as soon as possible so your provider can review it before your visit. You can mail, fax, or email scans of this form.
Prior to your first appointment, our Patient Navigator will contact you to discuss the fee schedule, pre-authorize your evaluation with your insurance company, and then advise you of what the costs will be.
For community providers who would like to refer clients to the UW Autism Center, please fax a referral to 206.598.7815.