Family Request For Services
NOTE TO FAMILIES NOT YET RECEIVING SERVICES FROM US
If your child is currently enrolled on the Autism Waiver and you would like to request our service, you can make the request online. Completing the...
Family Request for Services Form for Families New to The Whole Self Center
online helps our staff begin the process of determining how we will be able to provide the best possible services to your family and your child.
HOWEVER, making this request online is only meant to allow us to understand your child’s needs. Services CANNOT be initiated until 1) a Whole Self Center employee conducts an intake with you and 2) your Autism Waiver Service Coordinator is notified that after the intake you want The Whole Self Center to provide services to your family.
Click: Family Request for Services Form for Families New to The Whole Self Center if you would like to complete the Request for Services Form now. This is a secured site, so your information will remain confidential.
Click: Family Request for Services Form for Families New to The Whole Self Center if you would like to complete the Request for Services Form now. This is a secured site, so your information will remain confidential.