top of page

About
Resources
Events
- TinkerMill
- Young Adults Discord
Get Involved
More...

Use tab to navigate through the menu items.

Resource Provider Form

Please complete this form as fully as possible. Email info @ autismboulder.org with questions. A member of the leadership team will review your information before it goes live on the website.

Provider Name

Image or Logo (1:1 ratio only)

Upload Image File

Website Address

Email Address

Phone Number

Street Address

City

State (two letter abbreviation)

Zip Code

Description of Services

Service Category/Categories * Required

Advocacy/Legal/Financial

Alternative Therapies

Autistic Adult Services

Behavior Therapy

College and Secondary Education

Diagnosis

Education

Government Resources

Psychiatry/Psychology/Counseling

Recreation/Camps

Social Skills/Friendship/Life Skills

Speech Therapy/Occupational Therapy/Physical Therapy

Support

Insurance Accepted/Payments * Required

Medicare

Medicaid

Private Insurance

Sliding Scale

Self Pay

N/A

Accepted Insurance Providers * Required

Aetna

Anthem Blue Cross Blue Shield

Blue Cross/Blue Shield

Cigna

Health First Colorado

Humana

Tricare

United Healthcare

Other

N/A

If other insurance providers are accepted, please list below.

Thank you! Your content has been submitted!

Affiliate_Vertical_Brandmark_Boulder_County_FullColor.png

Providing support and recreational opportunities for individuals on the autism spectrum and their families.

Email: info@autismboulder.org

Phone: 720-272-8231

Registered 501(c)(3)Charity

EIN: 20-0574440

Stay Informed

Join our email list and keep up with the latest news and community events

Enter your email here*

Yes, subscribe me to your newsletter.

Quick Links

bottom of page