Paula’s Place Information Form

Once you have scheduled your visit to Paula’s Place, please fill-out the information below prior to so that we are better able to service your needs.

Your Name (required)

 

 

Your Email (required)

Date Visit Scheduled

What is the main reason for your visit to Paula's Place?

What are the problems that the individual with autism is currently experiencing:

Please write anything else that you think would help us to assist you during your visit to our lab.