Professionals Contact Form

I am a(n):

Primary Health Care Provider
Therapist or Complementary Care Professional
Social Service Professional or Counsellor
Built Environment Professionals (Designer, Architect, etc.)
Employer or Human Resource Professional
Emergency Responder

I have contact with people in the autism spectrum

Daily
Weekly
Irregularly but often
Irregularly and seldom

The need or frustration with autism spectrum challenges that brought me here today is...

The autistic spectrum includes ADHD, Asperger's, Dyscalculia, Dyslexia, Dyspraxia, Kanner's, OCD, PDD-NOS, and Tourette's. Females in the spectrum are often misdiagnosed with Anxiety/ Panic Disorder, Bipolar, Eating Disorder, Fibromyalgia, and OCD.

I'm seeking support for...

myself as an individual professional
myself and other professionals I collaborate with
my professional association

The specific events, issues, or professional development trainings I would like to discuss include...

My top goals for my (and my team's) work experiences with autistic clients include:

Name*

First Last

Your Best Email*

Because I have autism and the associated heightened variability in daily function, I am not on the computer every day. Thank you for your patience.

Enter Email Confirm Email

Please note: Your name and email will only be used to contact you directly. Your information will not be added to my newsletter mailing list unless you select that option below.

Do you want to join my mailing list?*

If you wish to subscribe to my newsletter, please click Yes below.

Yes
No

CAPTCHA