Use this form to get in touch or refer a client:

Because we respect your time the referral process is simple. Complete the form below and someone will contact you shortly to discuss your client’s needs. We look forward to collaborating with you in the care of families in our community. *Required Fields are marked with a red asterisk.

*Your Name:

*Phone Number:


Mailing Address:


Your email address will never be used for marketing purposes, or sold to any other company.
“Each family must choose service providers that best fit their child. For us and Matthew, we can't sing our praise of Paula and David at CLASS, Inc. enough! They have been incredible to work with-extremely knowledgeable and caring.”
Laura Bower January 2010