Contact

Let's get your child started

Fill out the short form and our intake team will verify your benefits and reach out within one business day.

Parent / guardian namePhoneEmailChild's ageInsurance company

Insurance card photos

Snap a clear photo of the front and back of your insurance card. Photos are sent securely to Arise — never stored on this website.

Front of card

Back of card

Nearest location

Does your child have an autism diagnosis?

YesNoIn process

Preferred therapy setting

ClinicHomeDaycare

I authorize Arise Autism Center to contact me and verify my child's insurance benefits for ABA therapy. See our Privacy Policy.Yes, I agree to receive text messages from Arise Autism Center about my inquiry and my child's services, including intake follow-up, scheduling and appointment reminders. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help. Consent is not a condition of receiving services. See our Mobile Terms and Privacy Policy.

We typically respond within one business day.