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Bringing families, volunteers and professionals together to address the challenges of autism and to promote awareness of autism spectrum disorders
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02.09.2012
Family Support Meeting
02.21.2012
Welcome Reception
02.23.2012
Outreach Series
02.26.2012
Ice Skating Event
03.24.2012
Resource Fair
03.28.2012
Disability Awareness Fair



Visit ansari center/
southwest michigan



Visit logancenter.org

Please complete this survey to enable us to provide accurate information to families seeking available resources in our community.

Survey for Professionals Serving Individuals on the Autism Spectrum

The Ansari Center for Autism monitors the latest research and investigates emerging intervention practices for work with individuals on the spectrum. We provide families with the options available so that they can select the strategy or approach that works best for their child. This survey will be used as a resource listing for our families. If you have any questions, please email Lynn Sayre.

Resource Directory Survey

Last Name   First   Title 
Street Address Apartment/Unit#
City   State   Zip 
Phone email
Practice Affiliation Hospital Affiliation Webpage
Credentials
Specialty
Age range served
Experience treating individuals with Autism? Yes No
Experience treating individuals with Aspergers? Yes No
Do you make the Autism Spectrum disgnosis?? Yes No
Do you administer diagnostic testing to identify learning disabilities? Yes No
Do you provide individual therapy? Yes No
Do you provide family therapy? Yes No
Do you provide group therapy? Yes No
Currently taking new patients? Yes No
Accept Medicaid? Yes No
File insurance for patients? Yes No
Private pay. Assist with filing? Yes No
Sliding scale fee available? Yes No
Professional biography available? Yes No   Please email bio to Lynn Sayre
Comments to pass on to families

Ansari Center for Autism
2505 E. Jefferson Blvd. • South Bend, IN 46615
(574) 289-4831

autismcenter@logancenter.org