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 Individual with ASD

This form is to be completed by individuals who are on the autism spectrum or 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 individual with autism, please use this form.

If Spanish is your primary language, you can translate this form (and this website) to Spanish by clicking the word Español in the upper right corner of this website window.

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Call: (216) 464-7600 x200