Referral and Service Request Form

 Referrals for ADEs and ABA services can be made by any individual.

Click HERE to complete our referral form online. 

 Or, download the referral form below and fax it to us at 203-266-1005. You may also email the referral form to

Family Strong CT Referral Form (pdf)


Contact Us

How can we help?

Office Locations:

North Haven Office: 605 Washington Avenue North Haven, CT.   

Southbury Office: 220 Main Street S. Suite 206A Southbury CT.

Additional offices located in Fairfield, Westport, and Stamford.


By appointment. Please email or call us to schedule an appointment.