Community Connection Form

This form helps us understand how we can best support individuals who may benefit from Novita’s Community Programs – such as Transition To Work, Supported Independent Living, and more.

To help us get started, please include as much detail as you can in the “Detail of Enquiry” section – such as name, age, diagnosis (if known), recommended supports, and the services you’re looking for.

You’re welcome to submit the form anonymously if you prefer.