Patient Information

You will need a referral from the Pediatrician/Neurologist/Neuropsychologist before contacting the Pierce Center for Autism at Touro for an appointment. Please note that there is a waitlist for most services. A new patient packet will be mailed to you. This packet must be completed and returned before you can be added to our new patient waitlist.

Before your child is scheduled for an appointment, we will call for insurance benefits to authorize the service.

• Patient Privacy Information
• Attendance Agreement
• Intake Checklist
• Patient Rights and Responsibility
• Patient Registration Form
• Legal Custody Form
• Social Skills Checklist
• Release Patient Information