County resource guide
Autism Resources in Real, Texas
Local providers, school contacts, and support services for autism families in Real. Texas statewide resources also apply.
Local providers
5 listedDiagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Leakey
Real County — Developmental Referrals via Uvalde/Kerrville
Real County is one of Texas's smallest and most rural counties. Developmental screening referrals route through Uvalde Memorial Hospital or Peterson Regional Medical Center in Kerrville. Comprehensive autism evaluations require travel to San Antonio (~90 miles east).
Kerrville (approximately 55 miles northeast) and Uvalde (approximately 60 miles west) are the closest service hubs for Real County families.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Leakey
Texas ECI — Real County (Hill Country MHDD Centers)
Texas ECI delivers free early intervention to Real County children birth to 3 through Hill Country Mental Health and Developmental Disabilities Centers. Home-based services are standard in this remote Hill Country county, with service coordinators traveling to families.
FREE. Home delivery is the standard ECI service model for Real County. Referrals accepted from any source.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Leakey
Telehealth ABA — Real County Rural Access
Real County's extreme rural isolation means telehealth-based ABA parent training is typically the first available therapy option. Texas-licensed BCBAs offering remote services can provide evidence-based guidance while families are on waitlists for in-person therapy in larger cities.
Texas Medicaid covers telehealth ABA. Contact HHSC for provider referrals serving Real County.
Parent & family support
Parent groups, sibling programs, and family peer support.
Leakey
Autism Society of Texas — Statewide Support
Real County families connect with Autism Society of Texas through online communities and the statewide helpline. AST can help coordinate connections with Kerrville-area and San Antonio-area support groups for families willing to travel.
Online support is the most accessible AST resource for Real County's isolated Hill Country families.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Leakey
Partners Resource Network — Texas PTI
Partners Resource Network offers free IEP advocacy and special education rights support to Real County families via virtual and phone services. PRN's statewide coverage ensures even the most remote Texas families can access expert advocacy.
FREE. Virtual appointments are the recommended access mode for Real County families.
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See all Texas resources
Waivers, PTI centers, and state programs apply to all families in Texas.
Texas state guide →