County resource guide
Autism Resources in Real County, Texas
Local providers, school contacts, and support services for autism families in Real County. Texas statewide resources also apply.
Real County is a very small Hill Country county centered on Leakey. Leakey ISD serves local families. Most autism services require travel to San Antonio or Kerrville; telehealth is essential.
Provider directory
Local Providers9 providers in Real 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.
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.
Kerrville · multi-county
Texas ECI — Hill Country Region (Kerr)
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.
Kerrville · multi-county
Behavioral Innovations — Kerrville
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.
Mental health
Therapists and psychiatrists experienced with autistic children and adults.
Kerrville · multi-county
Hill Country Mental Health & Developmental Disabilities Center
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.
For providers
Be the first featured provider in Real County
Featured listings include your logo, extended description, a direct contact button, and top placement above standard listings. Families searching for help in Real County see you first.
Missing a provider? Submit a listing — it’s free →
Helpful guides
Guides for Real 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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