Autism Services in Tasmania Connection Form

Autism Services in Tasmania

Do you provide services for autistic Tasmanians? Autism Tasmania is keen to connect with you and better understand your services. With your consent we use this information to support our Autism Advisory Services - our valuable work in informing, linking and connecting our autistic community to appropriate services. In addition, you might like to join AT as a key way to keep up to date with the developments in Autism in Tasmania and with the development of the National Autism Strategy.

Which best describes your service?*
- A health/ allied health professional
- An autism assessment provider
- An autism specific service
- A disability service
- A mainstream and autism inclusive service
- Other
Select all that apply
Service Description - Health / allied health professional*
- Occupational Therapist
- Speech Therapist
- Psychologist
- General Practitioner
- Dietician
- Behaviour Support Practitioner
- Paediatrician
- Psychiatrist
- Other
"Other" Service Description - Health / allied health professional*
Autism assessment provider - Do you provide formal assessments?*
- Yes
- No
Autism assessment provider - Do you provide preliminary/interim assessments only?*
- Yes
- No
Autism assessment provider - Do you accept Medicare rebates?*
- Yes
- No
- TBA
Service Description - Autism specific service*
Service Description - Disability specific (that is autism inclusive)*
Service Description - Mainstream and autism inclusive service*
Service Description - Other
Business Name*
Contact Person Name
Ages of clients serviced*
Service Delivery Method*
- Face to Face
- Telehealth
- Mobile Provider
- Other
If "Other", please specify*
Location of Services Provided*
- North West
- North
- South
- State-wide
- Online
Address
Street Address City State / Province / Region ZIP / Postal Code Country
NDIS registered?*
- Yes
- No
Which services are NDIS registered?
Phone*
Email*
Website / Social Links
Is there a waitlist to access this service?*
- Yes
- No
If yes, is the wait time for new referrals generally predictable?*
- Yes
- No
What are the wait times?*
- Less than 6 weeks
- More than 6 weeks, less than 3 months
- More than 6 months, less than 1 year
- More than 1 year
Do you have experience working with autistic people?
- Yes
- No
Please outline your experience/expertise
Does your service accommodate the different sensory needs of autistic clients?
When I submit, I acknowledge that AT will use this information for connecting the autistic community with relevant services and supports.
Email
This field is for validation purposes and should be left unchanged.