Request Autism Services Consultation

Let us show you how Autism Therapy can help your child achieve their greatest potential.

*Translation services are available upon request.

Step 1 of 3

First Name*
Last Name*
Phone*
Email*
Texting frequency may vary. Message & data rates may apply. Reply STOP to opt out or HELP for more information. View our Terms and Privacy Policy
- By checking this box, you agree to receive text messages (SMS) from Helping Hands Family
Texting frequency may vary. Message & data rates may apply. Reply STOP to opt out or HELP for more information. View our Terms and Privacy Policy

State Where You Live*
Pennsylvania Region*
Nearest Service Location - CT*
Nearest Service Location - MD*
Nearest Service Location - NJ*
Nearest Service Location - VA*
Nearest Service Location - Greater Philly*
Nearest Service Location - Poconos*
Nearest Service Location - Central PA*
Nearest Service Location - Pittsburgh*
Home Zip Code*
Were You Referred to Helping Hands Family?*
Who Referred You?*
Your Child's Birthday*
Month
Day
Year
What Primary Insurance Do You Carry?*

Read More Example

Helping Hands Family follows the national standards to protect patient health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Helping Hands Family (HHF) may be required to share some client information with authorized covered entities for activities including but not limited to billing, scheduling, coordination of care, and insurance auditing. HHF does not share client information outside of the authorized activities unless required by law.

HHF offers the opt-in option to receive administrative information, appointment reminders, and communication with assigned clinical team members via regular text messaging (SMS). There is an inherent level of risk that information in a regular text message could be intercepted.