Care FinderRequest to join CareFinder Request to join CareFinder Request to join CareFinder Name * Name First First Last Last Name of your facility * Type of care provided * Enter the specific type of Parkinson's care provided. Example: Home Care, Rehabilitation Center, exercise program etc. Address * Address Line 2 City * Province * Postal Code * Country * Phone * Email * Website/URL Care Delivery * In-Person Virtual In-Home What category best describes the service you provide? (Select all that apply) Medical Provider Health and Wellness Program Support Group What sub category best describes the medical service you provide? (Select all that apply) Counselling Dietitian Geriatrician Kinesiologist Music Therapist Nurse Nutritionist Occupational Therapist Physiotherapist Speech Language Pathologist What sub category best describes the health and wellness program you provide? (Select all that apply) Movement Disorder Specialist Neurologist Psychiatrist Psychotherapist What sub category best describes the support group you provide? (select all that apply) Care Partner Groups Early Onset Parkinson's Newly Diagnosed Parkinson's and Care Partners Groups People with Parkinson's Groups Specialty Groups Description of your service * Please provide a brief description of your services, including any specializations or unique features. Please provide your experience with Parkinson's Disease * Please mention any relevant certifications, affiliations, or qualifications. How do people register for your program? * Online Phone or Email Referral Required OtherOther What is the cost model of the service? * Client Paid Free Donation OtherOther What language is your program offered in? * EN ES FIL FR HI PA ZH Do you have a Google Business account? * Yes I will create a free Google Business account Get your free Google Business account here: https://www.google.com/intl/en_ca/business/ Is your facility wheelchair accessible? Yes, fully accessible Partially accessible Not accessible How many years of experience do you have working with people living with Parkinson’s? * None Less than 5 years 5 - 10 years 10+ years How many people living with Parkinson’s have you worked with in the last 6 months? * Yes, approximately how many?Yes, approximately how many? No In order to be included in CareFinder, service providers must take a free, 30-minute long, online Parkinson's training session offered by Parkinson Canada. Are you willing to complete this training? * Yes No Because it is free to be included in CareFinder, Parkinson Canada asks that you share or display our information flyers with your clients in order to connect them with us. Is this something you would be willing to do? * Yes No Would you be interested in hearing about any future sponsorship opportunities? * Yes No Additional Comments or Questions Captcha Submit If you are human, leave this field blank.