We are currently accepting enrollment applications for children under the age of 6 years old with a diagnosis of autism.

Completion of this application represents an intent to enroll the named patient in ABA services with Arise Autism Center. By completing this form, you attest that all information is accurate and that you have the legal right to apply for services for the named patient. Arise Autism Center will review your application to determine enrollment eligibility and contact you with next steps. For any questions, please contact our intake department at 407-710-8566 extension 707. Thank you and we look forward to working with you in the future.