Walk for Parkinson's

Join us on September 10 & 11

GETTING CONNECTED 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 any point in the disease’s progression.

What is the GETTING CONNECTED Program?

GETTING CONNECTED Parkinson’s Referral Program provides people with Parkinson’s and their carepartners the information and support they need, want and deserve at any time during the disease’s progression. Ultimately, GETTING CONNECTED Parkinson’s Referral Program bridges the gap in the system and aims to help clients (and support healthcare professionals) by connecting information, support and community resources.

What does the GETTING CONNECTED Program do for clients?
• Connects individuals with Parkinson’s to information and community based programs and support services.
• Provides educational opportunities through The Parkinson’s Update magazine, E-News, conferences, webinars and workshops.
• Provides quality publications with information on upcoming and ongoing research.
• Access to the toll-free information and referral line, 1.888.851.7376

Complete the form below to participate in the GETTING CONNECTED Program. If you are looking to order referral supplies, please email info@psso.ca

Getting Connected

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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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