AsIAm Autism Information Line

AsIAm Autism Information Line – Contact Form

Please answer the questions below to help us understand your query and support you as quickly and effectively as possible.
Privacy notice: We will only use the information you share here to support you and respond your message. Only relevant AsIAm employees will see your information – which we will keep safe in line with the GDPR. For more information see: https://asiam.ie/privacy-policy
Data Protection Consent*

I consent to my information being used to support me, and respond to my message – including any sensitive information I shared (e.g. diagnosis/ disability/ health information).
If you would prefer to contact us by phone, please call 0818 234 234.
Name*

First NameLast Name
Email*
example@example.com
County
I am a...

Parent/guardian of an Autistic childParent/guardian of an Autistic teenagerParent of an Autistic adultAutistic adult (I received a formal diagnosis)Autistic adult (I have not received a formal diagnosis; I self-identify as Autistic)Professional working with an Autistic personPrefer not to sayOther (10 words max)
What are you contacting us about today? Please choose a subject(s) below

Child Autism Diagnosis (Assessment of Need and private diagnosis)Adult Autism DiagnosisAsIAm Supports and ServicesChild and Adolescent mental healthAdult Mental HealthEarly Years EducationPrimary School EducationSecondary School EducationThird Level EducationChild Daily LivingAdult Daily LivingEmploymentLegal IssuesAccessing Community Services (e.g. SLT, OT, Autism Assistance dog)Social Protection (e.g Disability Allowance, Domiciliary Allowance)HousingCommunity InclusionOther
Please give us an overview of what you have contacted us about today; we will use this information to help us answer your query and support as best we can.

(summary max 250 words) 0/250
How did you hear about us?
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AsIAm Autism Information Line – Contact Form