Request to join CareFinder Request to join care finder 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 Address Address City City Province Province Postal Code Postal Code Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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) Movement Disorder Specialist Neurologist Counseling Dietitian Geriatrician Kinesiologist Musical Therapist Registered Nurse Nutritionist Occupational Therapist Physiotherapist Speech Language Pathologist OtherOther What sub category best describes the health and wellness program you provide? (Select all that apply) Care Giver Support Creative Classes Exercise In-Home Care Technology Supoort Therapeutic Massage OtherOther What sub category best describes the support group you provide? (select all that apply) Care Partner Group DBS Patient Group Living Solo Group Newly Diagnosed Group People with Parkinson's Group Young Onset Group OtherOther 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? * Paid Free Donation OtherOther What language is your program offered in? * English French OtherOther 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, hour long, virtual Parkinson's disease 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 fliers 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 Submit If you are human, leave this field blank.