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Provider Referrals
Home
About
Autism & ABA Therapy
About Reno Children’s Center
Eligibility & Insurance
Programs
Readiness Program (Ages 2-4)
Underpinnings Program (Ages 4-6)
After School Social Skills (Ages 6-12)
Careers
Contact
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Send A Referral
Name
*
Phone Number
*
Email
*
Your Role
*
Case Manager
Community Partner
Educator
Healthcare Professional
Other
Does the child you're referring have an autism diagnosis
Yes, I provided the diagnosis
Yes, but I did not provide the diagnosis
No
Parent's Name
*
Parent's Phone Number
*
Parent's Email
Child's Name
*
Child's Age
*
0-12 months
12-24 months
2-3 years
3-4 years
4-5 years
5-6 years
6+ years
Any specific behavioral, educational or social concerns?
How did you hear about us?
*
Google Ad/Internet Search
Mail, Email or Phone Outreach
Parent or Colleague
Online Research
Social Media
Website
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