AAOF - The Autism Association for Overseas Families in the Netherlands

Professional Network - Form

Please fill in and send this form if you are a Practitioner, Teacher or other individual who can provide services to families and children affected by Autism. Your details will then be added to the Professional Networks section of our website.

The fields marked with an * are compulsory. Check that you have filled all the requested information and their accuracy before sending the form.

Professional Network Category *
(in which you'd like to be registered)

Occupational therapist
Speech/Language therapist
Psychiatrist/Psychologist/Psychotherapist
Educational support
Learning and family support
Other:	-- support group/babysitting/respite care etc. --

Personal Data

First name: *
Last name: *
Title:
Profession: *
Professional qualification(s):

Organisation/practice name:

Short description of offered services: *

Are your services recognised by the Dutch health authorities:
	Yes No

Contact information

Address:
Postcode:
City:
Daytime phone:
Evening phone:
Fax:
Email: *
Website:

The fields marked with an * are compulsory. Check that you have filled all the requested information and their accuracy before sending the form.

Professionals and practitioners are recommended to get a Police Check (Papier van Goed Gedrag) at their local town hall, as some parents/employers might request one.

IMPORTANT DISCLAIMER!

We supply information on this website in good faith and purely to assist you.

AAOF cannot be held responsible for the services offered by third parties, and you make use of them and of the information they provide at your own risk.

The presence or absence of a person/ organisation does not necessarily imply that the AAOF does, or does not, endorse or support these people/organisations.

We take care to ensure that the information in this website is correct and up to date, but inaccuracies may nevertheless occur.

If you find any information you believe to be inaccurate, please contact us at mail@aaof.info

Any further enquiries, or a request to be added to our mailing list, can be directed to mail@aaof.info .

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