If you would like information about, or are interested in applying to, the Ontario Autism Program (OAP) please provide us with your contact information. Someone from Child & Community Resources will contact you within one business day.Thank you.

* 1. District

* 2. Parent First Name

* 3. Parent Last Name

* 4. Contact Phone Number (with area code)

* 5. Are you currently waiting for or receiving services from CCR?

* 6. Child/Youth First Name

* 7. Child/Youth Last Name

* 8. Child/Youth Date of Birth (DD/MM/YYYY)

* 9. Language Preferred

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