Doctors/Therapists Offices Questionnaire

This Healthcare Provider Survey is being conducted by Autism Resources MidSouth, and Autism Tennessee, in cooperation with Autism Society East Tennessee, and The Tennessee Council on Autism Spectrum Disorder. Our agencies are attempting to determine the reasons why families are having difficulties accessing care or services through their insurance. We will share the results of this survey with the Tennessee Council on Autism Spectrum Disorder, The Tennessee Disability Coalition, and other agencies that can help us make the much-needed changes in our state and better serve our families. Please answer all questions that apply to you and your center or clinic. Please submit a separate form for each provider within your facility. 

We anticipate that this survey will take approximately 2 to 5 minutes to complete. We thank you for your time.

If you wish to be updated on the results of the survey, we will have a place for you to leave your contact information at the end of the survey.

 

Please note that there will be no identifying information collected through this form unless you provide that at the end. 

This survey is intended to collect information on difficulties reported by parents regarding access to appropriate providers. The goal is to determine how accessible care is within their insurance networks.

Please note: No identifying information will be collected through this form unless you provide that at the end.

  

We are attempting to better understand what is happening in Tennessee in regards to individuals with autism having difficulties finding doctors.

Please note: No identifying information will be collected through this form unless you provide that at the end.

If you wish for us to share the data with you, please share your email with us. 

Please know that if you provide your email address, it will not be shared with anyone, and it will only be used to share the data collected from this form with you.