Recommend a professional for a referral list

We require two written parent recommendations before we add a provider to a referral list.  If you are a professional referring your own agency, please email two written parent recommendations to

If you prefer, you can download and print a form and return via fax or mail to:

Autism New Jersey
500 Horizon Drive, Suite 530
Robbinsville, NJ  08691
Fax: 609.588.8858

Thank you for your recommendation!


  • Referral Information

  • Please check all counties served.
  • Use the space below to provide a description of services provided.
  • Person Recommending

  • Use the space below to explain the reason for your recommendation. If you already have a letter of recommendation drafted please upload it below.