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.

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* 1. District

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* 2. Parent First Name

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* 3. Parent Last Name

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* 4. Contact Phone Number (with area code)

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

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* 6. Child/Youth First Name

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* 7. Child/Youth Last Name

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

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* 9. Language Preferred

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