Parent Form
Forum for Autism is planning to prepare 2 lists related to Autism.

1) City-wise list of centers / professionals –with the details of facilities they provide to the children/ adults with their available contact details.(tel. nos, e-mail and postal address)

2) List of parents/ parent groups, willing to help/ share the experience each other with their area of interest, with their available contact details. (tel. nos, e-mail and postal address)

This will help the parents to find the required support easily in the area they dwell. It will also help the centers / organizations/ professionals to list their services, so that those requiring support can get their contact details from this page and then contact them directly.

Please enter Details of your child and yourself and do pass it to other parents.

Name of the Parent *
Your answer
Childs Name (M/F) *
Your answer
DOB *
Your answer
Diagnosis *
Your answer
Contact Address *
Your answer
Telephone no. *
Your answer
Mobile no. *
Your answer
Email Address *
Your answer
School/College/Vocational centre/Job placement of Child
Your answer
Class/Std in scl
Your answer
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