County resource guide
Autism Resources in San Juan County, Washington
Local providers, school contacts, and support services for autism families in San Juan County. Washington statewide resources also apply.
San Juan County (Friday Harbor, Lopez Island, Orcas Island) is Washington's island county accessible only by ferry or air. Islanders can access Seattle providers via Washington State Ferry. Washington PAVE provides free statewide IEP advocacy. The small provider base means most families rely heavily on telehealth.
Provider directory
Local Providers5 providers in San Juan 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.
Friday Harbor
Seattle Children's — Telehealth Autism Services
Seattle Children's Hospital offers telehealth autism evaluation and follow-up services for San Juan County families. Because the San Juan Islands require ferry travel to reach mainland Washington, telehealth is the most practical pathway to specialist care.
Ferry-dependent county — telehealth is essential. Plan in-person evaluations during mainland trips when possible.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Friday Harbor
Washington ESIT — San Juan County Early Support
Washington State's Early Support for Infants and Toddlers (ESIT) provides Part C services for San Juan County children under age 3. In-home evaluations and therapy are delivered on the islands to eliminate ferry travel barriers for eligible families.
FREE under IDEA Part C. Island delivery of services — therapists travel to families.
Speech therapy
Speech-language pathology, AAC, pragmatic language, and feeding.
Friday Harbor · multi-county
Skagit Regional Health — Outpatient Therapy (San Juan Referral)
Skagit Regional Health in Mount Vernon (Whatcom County) is the nearest full-service hospital for San Juan County families and provides outpatient speech-language therapy. Accessible via ferry to Anacortes then a short drive.
Parent & family support
Parent groups, sibling programs, and family peer support.
Friday Harbor
Autism Society of Washington — San Juan Islands
The Autism Society of Washington supports San Juan County families through its statewide online network. Virtual peer support is essential for island families — geography makes in-person group attendance challenging.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Friday Harbor
Washington PAVE — San Juan County
Washington PAVE, the state's federally funded Parent Training and Information Center, provides free IEP advocacy and training to San Juan County families by phone and video. Island geography makes remote advocacy support especially valuable.
FREE. All services by phone or video — ideal for island families.
For providers
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Helpful guides
Guides for San Juan 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 Washington resources
Waivers, PTI centers, and state programs apply to all families in Washington.
Washington state guide →Nearby counties in Washington
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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