If you would like to register your child so that he or she can be placed on our waitlist, please print out and complete the Registration Form and the Child’s History/Information questionnaire.  Return the completed forms by MAIL, along with copies of the most recent reports, evaluations, and documents:

  • Regional Center assessments and Individual Family Service Plan (IFSP) or Individual Program Plan (IPP).
  • School district evaluations and Individual Education Plan (IEP).
  • Any other relevant reports and evaluations, such as psychological, behavioral, neurological, speech and language, occupational therapy, floor time, social skills or whatever you may have at this time.
  • Health insurance card, front and back.
  • Optional:  If you have an extra picture of your child, feel free to tuck it into your registration packet too.

Please MAIL all of the above information to:
Annette Lovato
Resnick Neuropsychiatric Hospital at UCLA, Room 78-215
760 Westwood Plaza
Los Angeles, CA 90024.  

Registration packets and reports sent by email will not be accepted.

We will send you written confirmation by mail within 2 weeks of receipt of your registration packet - no need to call within this 2 week period.  We will process all registration packets in the order received.  At that time your child will be added to our waitlist. While you are waiting to join KidsConnect, it is important that you obtain services for him or her within the community.

 There are some suggestions summarized below:

 Have your child evaluated by the UCLA Autism Evaluation Clinic (310) 794-4008 for diagnostic clarification and/or treatment recommendations.

Registration form