Contact Us

At Inspire Horizons, we’re dedicated to supporting your child’s growth through compassionate, individualized care. Fill out the form below to be contacted about how we can support your child today!

Client Inquiry Form

"*" indicates required fields

About Your Child

What is your child's first name?*

What is your child's last name?*

What is your child's date of birth?*

Our team specializes in ABA therapy for children up to the age of 10.

Which location are you interested in?*

If 'other' indicate your preferred location.

Has your child been diagnosed with Autism Spectrum Disorder within the past 3 years?*

Has your child received ABA, Speech or OT within the last 6 months*

Who is your child's primary insurance provider?*

If you selected "other", who is your child's primary insurance provider?

How Can We Reach You?

We would love to chat with you. How can we get in touch?

What is your first name?*

What is your last name?*

Your email address*

Your phone #*

Zip Code*

When would you like to start in our therapy program?*

How did you hear about us?*

Are you willing and able to commit to utilizing 90% or more of the medically appropriate level of care, as determined by your child's Behavior Analyst?*

Are you willing and able to commit to attend and consistently arrive on time to your child's scheduled therapy appointments? We require a minimum 95% attendance rate.*

This field is for validation purposes and should be left unchanged.