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Services Across the Lifespan for Individuals with Autism Spectrum Disorder

Referral

To request an appointment at the Asheville TEACCH® Center, please complete the appropriate intake forms. Once the completed intake forms and requested reports are received by the Asheville TEACCH Center, you will be contacted to schedule an appointment.

Choose the appropriate age group and click the button for Referral Process and Forms:

REFERRAL PROCESS and FORMS for Children and Adolescents
(through age 17)

REFERRAL PROCESS and FORMS for Adult Client
(age 18 and older )

If you have any questions regarding the intake forms or the referral
process at the Asheville TEACCH Center, call 919-445-7020

UNC Health Care Forms
To read Notice of Privacy Practice – English | Español
General Consent for Treatment – English | Español
UNC Patient Rights – English | Español
Release of Medical Information and Confidentiality Authorization Form – English | Español