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Foundations Therapeutic Program at Little Friends Center for Autism

Please complete the form below if you are interested in having your child participate in this program. Our Center for Autism staff will contact you to discuss your family’s needs further. More information can be found on our program flyer!

LFCA Foundations Interest Form

Parent Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Phone(Required)

Who is your primary insurance provider?(Required)

Blue Cross Blue Shield PPO

United Healthcare PPO

Other

Child's Name(Required)

First Last

Child's Date of Birth(Required)

Has your child received a medical autism diagnosis?(Required)

Yes

Other

Comments

Please let us know what's on your mind. Have a question for us? Ask away.

I love my school

“I love my school because I have great teachers and friends.”

I like to socialize and laugh

“I like to socialize and laugh with my friends every day.”

Little Friends staff are remarkable people

“As parents, we feel truly thankful and blessed for the opportunities that Little Friends has provided and offered. Little Friends staff are remarkable people who are dedicated to what they do and those they serve.”

Good times with friends and people who care

“For my son, this has not been just a school but the place where he spends good times with friends and people who care about him.”

How grateful we are

“How grateful we are to all the angels who work with our son at Little Friends. This is his home.”

Krejci means so much to Us

“Krejci means so much to us because it’s been the one place that has truly helped my child excel and grow; the place that he is not judged or made to feel different but accepted. I am so appreciative of the patience, care, and hard work from all the Krejci staff.”

Positive Impact on our Family

“Respite has had such a positive impact on our family. We love that our kids can socialize with other families that share our similarities. It gives me comfort knowing he is in good hands”