IRO General Concerns or Complaints Form

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General Concerns or Complaints Form

If you have already attempted to resolve your complaint directly with the AccessOAP team, please use this form to submit your concern or complaint about your experience with AccessOAP to the independent review office.

The AccessOAP independent review office will review all concerns or complaints from individuals who have interacted with AccessOAP including:

individuals applying to the Ontario Autism Program
parents, legal guardians, and substitute decision-makers of members of the Ontario Autism Program
independent youth registered in the Ontario Autism Program
service providers who are eligible to deliver services (based on the ministry’s OAP guidelines)

Fields marked with an * are required

Pre-loaded Date

Saturday, May 04, 2024

Pre-loaded Date Copy

Parent, Legal Guardian, or other complainant:

First Name: *

Last Name: *

Relationship to child, if applicable: *

Child’s or Youth’s First Name (if applicable): *

Child’s or Youth’s Last Name (if applicable): *

OAP Number:

I prefer to be contacted by: *

phone
email
mail

Preferred Phone Number: *

Please indicate the best time to contact you (select one option): *

morning
afternoon

Preferred Email Address: *

By providing us with your email, you are giving us consent to email you about your complaint.

Suite/Apartment: *

Street # and Street Name: *

Town/City: *

Postal Code: *

Province: *

RR/P.O. Box/General Delivery: *

Please indicate which of the following your concern or complaint is about (check all that apply): *

applying to the OAP
registering with AccessOAP
using the portal
care coordinator services
receiving and reconciling funding
other:

If other, please explain: *

If this is about the determination of needs interview process, please use the determination of needs concern or complaint form instead.

Independent Review Office: Determination of Needs Form

Please provide a short summary of your concern or complaint (250 words or less): *

250 of 250 words left

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