Hope for every child, every family.™

Make A Referral

Do you have a patient recently diagnosed with autism?

Download the referral form below and fax the form and any accompanying documents to 574-217-4894.

Referral Form

Contact a Center

Mishawaka - Edison Center

574-387-4313 Get Directions

Elkhart - Elkhart Center

574-387-4313 Get Directions

Granger - Granger Center

574-387-4313 Get Directions

Mishawaka - Park Place Center

574-387-4313 Get Directions

Plymouth - Plymouth Center

574-387-4313 Get Directions

Portage - Portage Center

269-359-0689 Get Directions

Warsaw - Warsaw Center

574-387-4313 Get Directions