Enrollment Thank you for your interest in BHW services.
Please complete the form below to be added
to our enrollment waiting list. An intake
counselor will contact you shortly.

Enrollment







    Name*

    Email*

    City of Residence*

    Diagnosis

    Service(s) Sought

    Health Insurance Carrier*

    Regional Center*

    Previous Service(s) & Experience

    Enrollment Benefits

    • Full-service autism insurance verification and assistance

    • Stay current with Autism news and reforms via BHW Newsletters

    • Free Parent Workshops and Training Opportunities