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Polio Canada - Canada'a National Polio Survivor Network

March of Dimes Canada    Conductive Education Canada    Stroke Recovery Canada    Ontario March of Dimes

Contact Us

National Polio Survivors Registry

To register for the National Polio Survivors Registry, please complete and submit the form below, or request a paper form by contacting Polio Canada, 10 Overlea Blvd., Toronto, ON M4H 1A4. Tel. 1-800-480-5903, Fax: 416-425-1903 or Email: info@poliocanada.com. By joining the registry, you will be able to receive a customized education kit on post-polio syndrome.

First Name Last Name
Address City
Province Postal Code
Tel. Email
I am a Polio Survivor
  Health Professional
  Family Member
  Other   
 
In addition to the general information about Post Polio Syndrome and the Late Effects of Polio, please send me articles and information on:
Alternative Therapies
Cold and Feet
Emotional Issues
Fatigue
Family Issues
Medications
Orthotics
Pain
Sleeping Problems
Surgery
Swallowing Difficulties
Other
 
  

Contact info

Polio Canada
National Polio Survivors Network
10 Overlea Boulevard
Toronto, ON M4H 1A4
Tel. 1-800-480-5903
E-mail: info@poliocanada.com
  Polio Canada - Canada's National Polio Survivor Network
Polio Canada is a program of March of Dimes Canada

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