Arbor Autism Centers require all visitors to be vaccinated, click here for details

Coming  Fall 2021!
Coming  Fall 2021!
  • Home
  • About Us
    • Contact
    • Mission
    • Our Staff
  • New Patient Info
    • New Patient Intake
    • Insurance
    • Physician Referrals
    • Pricing for Private Pay
    • Vaccine Policy
  • Therapy Programs
  • Physician Evaluations
  • More
    • Home
    • About Us
      • Contact
      • Mission
      • Our Staff
    • New Patient Info
      • New Patient Intake
      • Insurance
      • Physician Referrals
      • Pricing for Private Pay
      • Vaccine Policy
    • Therapy Programs
    • Physician Evaluations

  • Home
  • About Us
    • Contact
    • Mission
    • Our Staff
  • New Patient Info
    • New Patient Intake
    • Insurance
    • Physician Referrals
    • Pricing for Private Pay
    • Vaccine Policy
  • Therapy Programs
  • Physician Evaluations

Physician Referrals

Arbor Autism Referral Form (pdf)Download

Please fax all referrals to 734-527-5981

If you do not use our referral form, please be sure that your referral is legible and includes:

  • Patient name & date of birth
  • Patient contact information
  • Patient diagnosis/suspected diagnosis
  • What type of treatment or appointment is being requested (MD consult, speech therapy, occupational therapy, etc)
  • The referring physician’s printed name, signature, and date
    • Referrals expire after 90 days, please be sure to send a non-expired referral

Please direct your patients to our website begin the intake process.

New Patient Intake
  • Home
  • New Patient Intake
  • Therapy Programs
  • Physician Evaluations
  • Refill Requests

Arbor Autism Centers

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