To top

Diagnosis services enquiry

Please fill out this form with your enquiry and we will get back to you shortly. Please make sure you fill in all the fields marked with an asterisk (*).
Your details
*
*
*
*
*
*
*
*
Your enquiry
To which centre does your enquiry relate?


*
eg Do you want a list of vacancies, to give feedback, etc? Maximum of 512 characters allowed, including spaces.
*
*
Your connection with autism
Please tell us how you’re connected with autism. You can tick as many boxes as you like.







Marketing permissions

The National Autistic Society would like to keep in touch with you about our services, support, events, campaigns and fundraising. We'll only contact you in the ways you want, and we’ll keep your data safe. (See our privacy and data protection policy for further details.)

I agree to the National Autistic Society contacting me in the following ways:

Address finder: enter your house number and postcode, and then select from the list
(UK only: for other addresses, please complete the form in full)

House or building number (optional)
Postcode
Autism Helpline Number: 0808 800 4104
Last updated: 17/01/2017 17:32:48