We’d love to hear what you think about our new website! Click here to submit feedback.

Kerry's Place 50th Anniversary logo
Close this search box.

Get started with the Kerry's Place Intake Team

Registering with our Intake Team is the first step to receiving services from Kerry’s Place. Fill out the intake form below to get started.

Already registered with intake and looking to renew your agreement? Click here.

Please note: The person receiving services from Kerry’s Place must have a formal diagnosis of Autism from a qualified professional who has undergone specific training.

One of the below practitioners must provide this diagnosis in writing to confirm eligibility for services.

Qualified professionals include:

The written diagnosis must include:

To start our Intake Form, please submit the following details:

Already completed an Intake Form with Kerry’s Place? You don’t need to complete the form multiple times. Renew your existing service agreement here, search for relevant services or contact our Intake Team directly at intake@kerrysplace.org.

Please enable JavaScript in your browser to complete this form.
I have a written diagnosis of Autism, as outlined above, to upload with my referral