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Your Name:

Your Email Address:

Phone Number (daytime):

Address:

Please enter your question or concern:

Please click all options which apply to you:

1. Demographic
   • Autistic Adult
   • Autistic Teen
   • Parent/Guardian of an Autistic Child
   • Parent/Guardian of an Autistic Teen or Adult
   • Family Member of an Autistic Person
   • Professional (doctor, psychologist, etc.)
   • Paraprofessional/EPA/Support Worker/ Community Representative
   • Teacher
   • Pre-school or Daycare
   • Other
2. Subject
   • General Information
   • Support for Autistic People
   • Support for Family Members
   • Education
   • Employment and Careers
   • Provincial Autism Centre Programs
   • Other Resources for Autistic People
   • Other

↓   ↓ Please enter the 4 letters you see in the image on the right.