Registration Form

For a student to begin services at Pacific Autism Center, a child must come in for an intake as discussed in the Enrollment Process.  Before coming in for an intake, a registration form must be filled out.  Below you will find the link to our Registration Form and any other forms needed to begin services at the center in PDF format.

Below are links to our Registration Form and Application in PDF format.

Please note that in order to view these files you will need the latest version of Acrobat Reader provided free by Adobe.

Registration Form (96 KB)– To be filled out to receive any services through Pacific Autism Center.

Application to attend PAC (Coming Soon) – To be filled out when you have a child who you would like to attend Pacific Autism Center as a school placement option.