The Virginia Tech Autism Clinic in the Psychology Department of Virginia Tech, opened in the Fall of 2005 to provide clinical services to individuals with Autism Spectrum Disorders and their families in the surrounding New River Valley. Our vision for this facility began in the Fall of 2004, as the Virginia Tech Autism Research Group met to discuss the available services for children with Autism Spectrum Disorders in the New River Valley, a largely rural area. Through an extensive survey assessing existing services throughout the Commonwealth of Virginia, it was brought to the attention of the group that many parents were concerned about both the availability and quality of services they were receiving.