Online Intake Form

If you are in need of assistance, we are here to help. If you really need help, answer the survey questions completely and with as much detail as possible. 

Our turnaround goal for contact is within 7 days, but most replies will be received well before that.

Any issues or questions? Email accc@autismccc.org

What type of assistance are you looking for?

Financial, Support, Recreation, Respite, Employment, Housing?

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