County resource guide
Autism Resources in Cooke County, Texas
Local providers, school contacts, and support services for autism families in Cooke County. Texas statewide resources also apply.
Cooke County is in North Texas centered on Gainesville near I-35. Gainesville ISD serves local students. Most autism services are accessed in Denton or Fort Worth; the highway corridor makes DFW providers accessible.
Provider directory
Local Providers9 providers in Cooke County
About our listings
Provider listings on Autism Parent Club are submitted by practices or researched from public sources. All listings are reviewed for accuracy before publication. To suggest a correction, use the “Suggest a correction” link below.
Diagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Gainesville
Gainesville Memorial Hospital — Pediatric Services
Gainesville Memorial Hospital (part of North Texas Medical Center) is the primary hospital for Cooke County. Pediatric services provide developmental screenings and referrals. For comprehensive autism evaluation, families access Texoma Medical Center (Sherman, ~30 min) or Cook Children's in Fort Worth (~1 hr south).
For full autism evaluation, Sherman/Texoma Medical Center (~30 min east) or Cook Children's Fort Worth (~1 hr south) are primary options.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Gainesville · multi-county
Texas Early Childhood Intervention (ECI) — Cooke County
Texas ECI services for infants and toddlers 0–3 in Cooke County, coordinated through the North Texas ECI regional network. Free developmental evaluations and early intervention for children at risk for autism or developmental delay.
ECI is FREE for all eligible Texas children 0–3. Call 1-800-628-5115 to refer.
Sherman · multi-county
Texoma Early Childhood Intervention (ECI) Program
Texas ECI services for infants and toddlers 0–3 in Grayson County, coordinated through the Texoma region's ECI network. Free developmental evaluations and early intervention for children at risk for autism or developmental delay. Bilingual services may be available.
ECI is FREE for all eligible Texas children 0–3 regardless of income. Ask your pediatrician or call 1-800-628-5115 to refer.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Gainesville · multi-county
Action Behavior Centers — Texoma Region (Serves Cooke County)
ABA therapy services for Cooke County families through Action Behavior Centers' North Texas network. In-home ABA and telehealth options are available for Gainesville-area families, with center-based services in Sherman or DFW accessible for those able to travel. Accepts most commercial insurance and Texas Medicaid.
In-home ABA is primary for Gainesville. Center-based options are available in Sherman (~30 min) or DFW.
Parent & family support
Parent groups, sibling programs, and family peer support.
Sherman · multi-county
Autism Society of Texas — Grayson County Families
Grayson County families connect through the North Texas chapter of the Autism Society. Support groups and resource navigation for Sherman, Denison, and surrounding communities near the Texas-Oklahoma border.
Gainesville · multi-county
Autism Society of Texas — Texoma / Cooke County
Community support and resource navigation for families in Gainesville and Cooke County. Connected to the Texoma-region network of the Autism Society of Texas. Peer support and links to Sherman and DFW-area autism providers.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Gainesville · multi-county
Texas Parent to Parent (TxP2P) — Cooke County
Statewide PTI connecting Gainesville and Cooke County families to peer mentors, IEP support, and disability resources. Free for all Texas families.
Federally funded PTI — free to all Texas families.
Sherman · multi-county
Texas Parent to Parent (TxP2P) — Grayson County / North Texas
Statewide PTI connecting Grayson County families to IEP coaching, peer mentors, and disability resources. Free for all Texas families. Grayson County families are close enough to DFW to access TxP2P workshops in person.
Federally funded PTI — no cost to families.
Decatur · multi-county
Texas Parent to Parent (TxP2P) — Wise County
Statewide PTI connecting Wise County families to peer mentors, IEP coaching, and disability resources. Free for all Texas families. Navigating smaller Wise County school districts can be easier with TxP2P's experienced parent advocates.
Federally funded PTI — free to all Texas families.
For providers
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Helpful guides
Guides for Cooke County families
Step-by-step help on the topics that matter most.
School & IEP
Navigating the IEP process
Your rights under IDEA, how evaluations work, and what every IEP section means.
Finding help
ABA, OT, speech and waitlists
How to find qualified providers, navigate insurance, and get off waitlists faster.
Getting started
Where to start after diagnosis
A week-by-week checklist for the first 90 days — from evaluation to early intervention.
Benefits & money
SSI, Medicaid waivers, ABLE accounts
Federal benefits your child may qualify for and how to apply without losing your spot.
Mental health
Co-occurring conditions and support
Managing anxiety, ADHD, and depression alongside an autism diagnosis.
Daily life
Sensory processing and OT
Understanding sensory needs, sensory diets, and how occupational therapy helps.
Adulthood
Employment, housing, legal planning
Supported employment, housing options, guardianship alternatives, and ABLE accounts.
See all Texas resources
Waivers, PTI centers, and state programs apply to all families in Texas.
Texas state guide →Nearby counties in Texas
See something that needs fixing?
Providers move, phone numbers change, and links break — it happens. If anything on this page is out of date, wrong, or no longer working, please tell us and we’ll fix it. Keeping this accurate for autism families is the whole reason we’re here.
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