If you're interested in working with us, complete application and upload the required forms. Please see PDF attached for more information about application. Attached you will also find our HIPPA and Disclosure forms, please sign and upload as well. We'll review your message and get back to you as quickly as we can.

Required Documentation Checklist

■ Proof of Identity (ID card, immigration card, or birth certificate)

■ Proof of Butler County Residency (utility bill, lease, or official local mail)

■ Documentation of Autism Spectrum Diagnosis

■ Any additional supporting documentation

• Signed PTP Policy & Agreement Form