Grayson County, Virginia

Hillsville · multi-county

Carilion Children's — Carroll County Referral Pathway

Carroll County (Hillsville) families access Carilion Children's in Roanoke (~70 miles north) for comprehensive autism evaluations. Grayson Community Hospital, part of Carilion's network, is the nearest local hospital in Galax (~10 miles south), but complex evaluations require the Roanoke campus.

Roanoke (~70 mi north) is primary for autism evaluation. Galax Carilion Grayson Community Hospital can initiate referrals.

Roanoke · multi-county

Carilion Children's — Developmental & Behavioral Pediatrics

Carilion Children's in Roanoke is the primary regional center for autism evaluations serving Grayson County families. The drive from Independence or Galax is approximately 1.5–2 hours, but Carilion is the closest major pediatric specialty center for this remote Southwest Virginia county.

Grayson is one of Virginia's most isolated counties for pediatric specialty care. Plan for a 1.5–2 hr drive. Ask about telehealth pre-screening to reduce trips. Bristol, TN/VA is also an option.

Roanoke · multi-county

Carilion Children's — Developmental & Behavioral Pediatrics

Carilion Children's in Roanoke is the primary regional center for autism evaluations serving Floyd County families. The drive from Floyd is approximately 35–40 miles north on the Blue Ridge Parkway corridor. Telehealth is critical for a county with no hospital of its own.

Floyd has no hospital. Roanoke (~35 mi north) is the primary hub. Telehealth is essential for follow-up and ABA supervision.

Marion · multi-county

Carilion Children's — Smyth County Developmental Referral

Carilion Clinic's network is the primary specialty care resource for Smyth County (Marion). Mountain States Health in Johnson City, TN (~35 miles south) is an alternative for many SW Virginia families. For autism evaluations, Carilion in Roanoke (~80 miles north) is the primary academic center destination.

Mountain States Health (Johnson City, TN, ~35 mi south) is also accessible for Smyth County families and sometimes has shorter waitlists.

Bland · multi-county

Carilion Clinic — Telehealth Developmental Pediatrics (Bland)

Carilion Clinic's telehealth developmental pediatrics services reach Bland County families who face significant travel to Roanoke. Virtual autism evaluations and follow-up care reduce the burden of distance for this remote I-77 corridor community.

Telehealth preferred for Bland County. Carilion Roanoke is the nearest major center.

Independence

Grayson County Early Intervention (Part C)

Virginia's Part C early intervention program for Grayson County children birth to age 3. Free developmental evaluations and in-home therapy services. In-home delivery is essential for Grayson's rural mountain communities.

Free under IDEA Part C. Contact Mount Rogers Community Services Board to initiate a referral.

Independence · multi-county

New River Valley ABA Services

In-home ABA therapy is the most practical model for Grayson County families given the county's rural geography. Providers serving the New River Valley and Southwest Virginia can often deliver services in the home, reducing the burden of long drives for therapy.

Contact DBHDS or your local Community Services Board to identify in-home ABA providers who serve Grayson County.

Hillsville · multi-county

New River Valley ABA Services — Carroll County (In-Home/Telehealth)

In-home and telehealth ABA therapy for Carroll County. The rural SW Virginia geography makes in-home delivery and telehealth supervision the most practical model. Galax-area providers may also serve Carroll County families.

Contact Mount Rogers Community Services Board about current ABA providers serving Carroll County.

Independence · multi-county

Autism Society of Virginia — Southwest Network

The Autism Society of Virginia connects Grayson County families to the Southwest Virginia regional network and statewide autism programming. Virtual participation is available for families in this remote corner of the state.

Bland · multi-county

Autism Society of Virginia — Southwest Network (Bland)

The Autism Society of Virginia connects Bland County families to statewide peer support networks, online resources, and advocacy. Virtual participation is essential given the county's rural geography and limited local services.

Hillsville · multi-county

Autism Society of Virginia — Southwest Network (Carroll County)

The Autism Society of Virginia connects Carroll County families to SW Virginia regional peer support and statewide autism advocacy. Virtual connections are especially valuable for families in this remote corner of Virginia.

Marion · multi-county

Autism Society of Virginia — Southwest Network (Smyth County)

The Autism Society of Virginia connects Smyth County families to SW Virginia peer support and statewide autism advocacy. Virtual programming is essential for this remote Appalachian county. Bristol, TN-VA area autism groups may also be accessible.

Alexandria · multi-county

PEATC — Parent Educational Advocacy Training Center

Virginia's federally funded Parent Training and Information Center. PEATC provides free IEP advocacy and special education support to Grayson County families statewide by phone and video.

FREE. Particularly important for rural families who can't access in-person advocacy resources easily.

Alexandria · multi-county

PEATC — Parent Educational Advocacy Training Center

Virginia's federally funded PTI serves Carroll County families navigating Carroll County Public Schools. Free IEP advocacy, training, and direct support available statewide — critical for this rural SW Virginia county with limited local advocacy resources.

FREE. Remote phone and video consultations available.