This form should be completed by your child’s physician as a referral for a diagnostic appointment.
We are able to bill many insurance carriers for our services. Please complete and return this registration form with your current insurance information.
If you are interested in intensive ABA treatment for your child, please complete and return this form.
Cornerstone is committed to protecting your privacy. This Statement of Privacy applies to Cornerstone Autism Center site; as well as governing health information, data collection and usage. By using the Cornerstone Autism website, you consent to the data practices described in this statement.
Fevers, coughs and sniffles…oh my! As a reminder, please familiarize yourself with Cornerstone’s sick policy.
Submit this form to authorize staff members at Cornerstone Autism Center to administer medication to your child.