teacher with autistic child

Admissions Information & Intake Form

To begin the Intake and Admissions Process, please complete the form below. Once we receive this form, we will begin to verify your insurance information and will contact you via email to gain more information about your child and assess which of our services are of interest to you and most appropriate for your loved one.

Please note: We do our best to ensure that the insurance benefits we relay to you are correct. However, Spectrum of Hope is not responsible for any errors or omissions conveyed to us by your insurance carrier. PLEASE BE AWARE THAT THE INFORMATION WE RELAY FROM YOUR INSURANCE COMPANY DOES NOT GUARANTEE COVERAGE.

 **Medicaid is not an accepted insurance at this facility.

Please Complete this Form to Start the Admissions Process

If you have a diagnostic report, please attach and email it to us here.

If you have questions about autism services for a child, teen or adult, call now (281) 894-1423. You can also check your insurance benefits and start an admission by clicking the button to the right. We're here for you.

Start an Admission