The Alan and Lorraine Bressler Clinical and Research Program is dedicated to the evaluation and ongoing medication management of children, adolescents, and adults between the ages 6 to 40 years with Autism Spectrum Disorder (ASD) and/or, Attention-Deficit/Hyperactivity Disorder (ADHD). Our program primarily focuses on pharmacological approaches to serious emotional and behavioral problems. Our intake process helps us understand the patient and determine whether our program is best suited to meet their needs.

PLEASE NOTE: THE BRESSLER PROGRAM IS NOT AN URGENT CARE FACILITY. Please call 911 or go to your nearest Emergency Room if you are experiencing a medical emergency.

Please expect a response within 14 business days of submission. Due to the high volume of patients, we currently have a waiting list. You may need to wait up to several months for an initial evaluation.

Important note: Some questions on this form may appear or disappear based on your responses.

* indicates a required field.


Requestor Information

If you are an international patient, please complete the International Patient Appointment Form.

Patient Information


Referral Information


About Your Appointment

Other Mental Health Disorders

Please select other mental health disorders and whether you've been diagnosed or not with that condition.

Supplemental Information