Submit a Resource

Thank you for helping to expand our database of invaluable AS resources!

First, we’ll need some information about you:

1. What is your name?
 
2. What is your e-mail address and/or phone number?
  Email:
Phone:
3. How are you associated with Asperger's?
  I have Asperger's
My friend or loved one has Asperger's
Just curious
Etc.

Now we'll need some information about your resource:

4. What type of resource is this?
 
Acute Short-Term Care
Advocacy for Adults
Alternative Treatment
Asperger Education
Assistance with Daily Living
Assistive Technology Resource
Autism / Asperger Organization
Behaviorist
College
Dentist
Diagnosis and Evaluation
Driver's Education
Ed Assessment / Intervention
Educational Consultant
Employment Services
Financial planning
Homeschooling
Housing
Legal
Life Coaches for Adults
Teen Medical
Multi-Service Agency
Neurologist
Neuropsychologist
Occupational Therapy
Ophthalmologist
Parent Support Group
 Pediatrician
Pharmacist
Pysical Therapy
Post-High School
Psychiatrist
Psychologist
Psychopharmocologist
Publication
Recreation
Residential Treatment / Hospital
Respite Care
Resource Organization
School (Elementary)
School (Middle)
School (High School)
School Vacation Mini-Camp
766 Advocate
Sexuality / Gender
Social Skills Groups
Social Worker
Spanish-Speaking
Speech and Language
State Agency
Substance Recovery
Summer Program
Theatre / Social Skills
Therapist / Counselor
Tutoring Services
Videos
5. What is the age of the person with Asperger's for whom this resource is appropriate?
  Child
Teen
Adult
Family
6. Name of resource:
 
7. Address of resource: City / State / Zip Code
 
8. Phone / Fax of resource:
  P:
F:
9. E-mail of resource:
 
10. Is this a self-referral?
  Yes
No
11. Information about this resource:
 
12. Why are you recommending this resource?
 

If you answered the resource type as "School", please answer the following questions:

13. Age of Students:
 
14. Website:
 
15. 766 approved:
  Yes
No
16. Cognitive ability:
 
17. Program Type:
  Day
Boarding
Both
Summer

Finally, we’ll need to know if we may share your contact information with others who are interested in learning more about the resource you’ve recommended:

18. May we share your information?
  Yes
No