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Milestones Autism Resources

4853 Galaxy Parkway, Suite A
Warrensville Heights, OH 44128

Phone: (216) 464-7600

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Intake Form - I am an Autistic Individual

This form is to be completed by autistic individuals or individuals who suspect they are on the spectrum in order to receive assistance for themselves. If you are a parent or other family member of an autistic individual, please use this form.

Si el español es su idioma principal, puede traducir este formulario (y este sitio web) al español haciendo clic en la palabra Español en la esquina superior derecha de la ventana de este sitio web.

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Call: (216) 464-7600 x200