Tri State Autistic Friendly and Knowledgeable Licensed Professionals

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Thank you for your interest!

This directory has two purposes. The first is to make it easier for those seeking neurodiversity-affirming care in the Tri-State area (NY-NJ-CT) to find those who offer it. It is meant to contain referrals for autistic children and their parents, as well as autistic adults with various needs. It is a work in progress that we hope will grow.

It might contain private information for some, so for the timebeing I will house the list and make myself available for referral requests at rachel@rachelbean.co.

The second purpose is to build a network of support among those of us who serve this community. At the end of the questionnaire, you will have the option to connect with others through several platforms.

*You can preview the questions on this form by navigating the buttons at the bottom of the screen. You cannot save your progress. After completion you will receive an email showing your responses.
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Name* This field is required.As you like to be called by peers.
First Name
Last Name
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Pronouns
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What is your profession?* This field is required.
Acupuncturist
Audiologist
Chiropractor
Dentist
MD (internal/family medicine)
MD (psychiatrist)
MD (clarify in Other box below)
Massage Therapist
Nurse Practitioner
Nutritionist
Occupational Therapist
Optometrist
Orthodontist
Physical Therapist
Psychotherapist (PsyD, LCSW, LMHC, etc.)
Psychologist (testing/evaluation)
Speech & Language (SLP, etc.)
Other
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Do you diagnose autism?* This field is required.
YESNO
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Do you prescribe psychiatric medicine?* This field is required.
YESNO
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Can you make accommodations for patients/clients who are non-speaking?* This field is required.
YESNO
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Please describe what accommodations you can provide for non-speakers.* This field is required.
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Do you have knowledge and practical guidance regarding any of the following?This list is not exhaustive. Please add any co-occuring condition that is particularly relevant for the autistic community or your practice.
Apraxia
ARFID
Burnout
EDS
In-Patient Psychiatric Care
Non-24 Hour Sleep-Wake Disorder (Sleep Disorders in general)
OCD
Suicidality
Trans Health/Gender Affirming HRT, etc.
Other
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What service do you provide?(If not captured by another response.)
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Please share any additional training/specialties if you'd like.
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State of Licensure* This field is required.
New York
New Jersey
Connecticut
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In what year were you licensed?* This field is required.
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Please provide a link to a source verifying your license * This field is required.Search results for yourself from NYS Office of the Professions, for example. Something so I won't have to research you.
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Please confirm that your website/profile indicates clearly whether or not you take insurance, your fee, and status regarding availability for new clients.* This field is required.Searching for a provide requires a lot of spoons for autistic people. Please make it easier.
YESNO
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Do you take Medicaid?* This field is required.
YESNO
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What type of setting do you work in now? * This field is required.
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Do you have experience in other settings? If you'd like, please share.
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What age group(s) do you work with?* This field is required.Feel free to add your own description
Children (0-12)
Adults (25-45)
Adolescents (13-22)
Adults (45-65)
Young Adults (18-24)
Adults (65+)
Other
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Do you have education or lived experience that allows you to provide affirming care to trans and gender nonconforming people?* This field is required.
YESNO
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Are there client groups or issues you definitely LIKE working with? If so, please share.
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Are there client groups or issues you DO NOT LIKE working with? If so, please share.
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Can you assist families with school issues?Recommendations for IEPs, documentation for hearings, etc.
YESNO
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Are you autistic?* This field is required.
YESNO
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If yes, do I have your consent to share this information with someone seeking an autistic provider?* This field is required.
YESNO
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Please share a little bit about why you consider yourself autistic-friendly and autistic-knowledgeable.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Please share a bit about why you want to work with autistic people.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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What is a resource related to autism that you have found useful?* This field is required.
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What is a resource related to autism that you have found NOT useful? * This field is required.
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Do you give consent for your contact information to be shared?* This field is required.Selecting NO might defeat the purpose of the directory, but if you're in it for community only, you are welcome.
YESNO
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Please indicate your name as you'd like it to be shared. * This field is required.Use your credentials.
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Please share a website or directory profile to which you'd like patients/clients to be directed.* This field is required.
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Contact Email* This field is required.
example@example.com
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If you would like to join the private Facebook group comprised of people on this list, please enter the email associated with your FB account.
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Would you like to be added to the groups.io group using the contact email provided?
YESNO
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Where did you find the link to this questionnaire?* This field is required.
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Please note!

This directory will maintain itself by accruing questionnaire submissions. I will not be updating it manually. If you would like to delete yourself from it, I can do that for you. If you would like to change your information, you will need to fill it out again.

I have no plans to circulate this directory and would not consider doing so without explicit consent. Conversation about how it can be used and evolve will be ongoing in the group(s).
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You are almost done! Please verify that a person filled out this form.* This field is required.
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