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Physician Referrals

Online Referral Form

Thank you for referring your patient to Arbor Autism Centers. Please click the button to submit an online referral or download the form below and submit via fax to 734-544-5581.

Arbor Autism Referral Form

New Patient Intake

Then, please direct your patient to the New Patient Intake page.

New Patient Intake

Fax Referral Form

If you prefer, download the form and fax it to 734-527-5981

Arbor Autism Centers Referral Form (pdf)Download

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Arbor Autism Centers

850 S. Hewitt Road, Ypsilanti, MI 48197

Phone: 734-544-5561 Fax: 734-527-5981

We're an ASAP Provider!

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