Contact Contact Us We are here to help. CONTACT US Whether you’re ready to start services, interested in a job, or just have a question, we’d love to chat. How can we help you today?*Services for my ChildInterested in a CareerMake a ReferralOtherName* First Last Child's Name* First Last Email* Phone*City* County*Alamance CountyAlexander CountyAlleghany CountyAnson CountyAshe CountyAvery CountyBeaufort CountyBertie CountyBladen CountyBrunswick CountyBuncombe CountyBurke CountyCabarrus CountyCaldwell CountyCamden CountyCarteret CountyCaswell CountyCatawba CountyChatham CountyCherokee CountyChowan CountyClay CountyCleveland CountyColumbus CountyCraven CountyCumberland CountyCurrituck CountyDare CountyDavidson CountyDavie CountyDuplin CountyDurham CountyEdgecombe CountyForsyth CountyFranklin CountyGaston CountyGates CountyGraham CountyGranville CountyGreene CountyGuilford CountyHalifax CountyHarnett CountyHaywood CountyHenderson CountyHertford CountyHoke CountyHyde CountyIredell CountyJackson CountyJohnston CountyJones CountyLee CountyLenoir CountyLincoln CountyMacon CountyMadison CountyMartin CountyMcDowell CountyMecklenburg CountyMitchell CountyMontgomery CountyMoore CountyNash CountyNew Hanover CountyNorthampton CountyOnslow CountyOrange CountyPamlico CountyPasquotank CountyPender CountyPerquimans CountyPerson CountyPitt CountyPolk CountyRandolph CountyRichmond CountyRobeson CountyRockingham CountyRowan CountyRutherford CountySampson CountyScotland CountyStanly CountyStokes CountySurry CountySwain CountyTransylvania CountyTyrrell CountyUnion CountyVance CountyWake CountyWarren CountyWashington CountyWatauga CountyWayne CountyWilkes CountyWilson CountyYadkin CountyYancey CountyAge of Child*Please select the following conditions for which your child has an official diagnosis.*Choose all that apply ASD ADHD Intellectual Disability N/A – My child needs a diagnostic evaluation What type of school/daycare program is your child enrolled?*Full DayPartial dayNot enrolled in school/daycareWe accept most forms of health insurance and Medicaid. Please select which type(s) of insurance coverage you have.*Choose all that apply Alliance: Medicaid Tricare Trillium Community Health Plan: Trillium Health Resources BlueCross BlueShield Cardinal: Medicaid North Carolina Medicaid Other If other, please list:* What best describes you?*PediatricianDiagnosticianDaycare/SchoolService Provider (case manager, counselor, etc.)Advocacy GroupPayor/FunderOtherIf other, please list:* Message*CAPTCHANameThis field is for validation purposes and should be left unchanged.