Required documents prior to appointment

Thank you for your interest in the Western Evaluation Center for Autism and Neurodevelopmental Disorders. To be able to considered for an appointment for a child to be seen by our team, we first must receive the following documents. Please attach each in the designated dropbox or email them to uc-autism@wmich.edu.

**Before uploading these documents, it is required that you confirm authorization with your insurance company prior to service. We participate with Blue Cross Blue Shield and Blue Care Network. We do not participate with Medicaid and cannot bill them for our services. Please visit our commonly used insurance billing codes page for more information. You will be responsible for any co-pays or unmet deductibles at the time of service. Clients will not be seen without payment. Please ensure that you contact your insurance company for any additional questions you may have regarding your insurance coverage.

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xlsx ods xml.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.