Illinois Autism Center

1660 N La Salle Dr Unit C007, Chicago, IL 60614

Do you live in the State of Illinois? *

Yes

No (we may not currently serve your area)

How old is your child? *

Under 2

2–4

5–8

9–12

13–17

18–21

Does your child currently have an autism diagnosis? *

Yes

Recently evaluated

No

Not sure

What insurance does your child have? *

Example: (Medicaid, Medicare, Aetna etc.)

Full Name *

Email *

Phone *

Postal Code *

I agree to the Terms & Conditions provided by Illinois Autism Center. By providing my phone number, I consent to receive text messages from Illinois Autism Center.

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