Special Olympics Ontario Recommended Healthcare Providers
Special Olympics Ontario is building a network of health care providers who see and are open to providing care to people with intellectual disabilities. We need your help to do this.

Do you see a healthcare provider, such as a dentist, doctor or optometrist that you would recommend to other Special Olympics athletes? We want to know! Please tell us by clicking next and entering their information below.

If you have multiple recommendations, please fill out a separate form for each one.

If you have questions please email: Shafeeq Armstrong (shafeeqa@specialolympicsontario.com) and/or Karla Williams (karlaw@specialolympicsontario.com)

**Please note that by providing this information, you are NOT enrolling your healthcare provider, on their behalf, into our network. A Special Olympics Ontario Staff member will reach out to each recommended person individually to ask for their interest and permission and required next steps to be listed as a recommended provider.**

Thank you to Special Olympics Washington for providing their template.
What is your email address? *
Never submit passwords through Google Forms.
This form was created inside of Special Olympics Ontario. Report Abuse