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Parkinson’s Referral Program

Getting Connected, Parkinson Society Southwestern Ontario’s Referral Program provides people with Parkinson’s and their Carepartners the information and support services they need, want and deserve at any time during the disease’s progression. Ultimately, the Parkinson’s Referral Program bridges the gap in the system and aims to help clients (and support healthcare professionals) by connecting them to information, support and community resources.

What is the Parkinson’s Referral Program?
The Parkinson’s Referral Program is intended to help healthcare professionals connect individuals diagnosed with Parkinson’s disease and their Carepartners to Parkinson Society Southwestern Ontario at the time of diagnosis or at any point in the disease’s progression.
What does the Parkinson’s Referral Program do for patients?
• Connect individuals with Parkinson’s to information and community based support services
• Provide educational opportunities through conferences, webinars and workshops
• Provide quality publications with information about available education and programs
• Access to the toll-free information and referral line, 1-888-851-7376

Complete the Getting Connected form below to participate in the Parkinson’s Referral Program. If you are looking to order referral supplies, please email info@psso.ca

Getting Connected

"*" indicates required fields

Referring Physician Contact Information*
Address*
I give PSSO consent to send me information on relevant programs & services via email.**

Person with Parkinson's - Contact Information*
MM slash DD slash YYYY
Address*

Is connecting with this patient urgent?**
Preferred Contact Time**
Preferred Method of Contact**
Please send information packages**
This field is for validation purposes and should be left unchanged.

Parkinson Society Southwestern Ontario is committed to protecting the privacy and personal information of the people we provide services to. The information provided on this form will only be used to inform patients/clients and their families about programs and services that may be helpful to them. Personal medical information will only be used to match the patient/client with the most appropriate service and will be kept completely confidential and secure.

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