Down Syndrome Clinic for Adults
Join us Saturday, January 20, 2024 for our Down Syndrome Clinic for Adults.  

WHO:  Individuals with Down syndrome age 17 and older.

WHAT:  Free medical screening and consultation with health professionals and community resources!

WHERE: Howard Phillips Center
                601 W. Michigan Street
                Orlando, FL 32805

WHEN:  Saturday, January 20, 2024

Clinic hours:  9:00am - 12:30pm

Limited amount of appointments available.  

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Presented by:
Participant Information
First Name *
Last Name *
Street Address *
City *
Zip Code *
County of Residence *
Cell Phone (or best number to reach you) *
Email Address *
Birthdate (mm/dd/yyyy) *
Gender *
Currently in School? *
School attending (or last attended): *
Do you have medical insurance? *
Date of last physical exam (mm/dd/yyyy):
Do you need an interpreter?   *
Required
If you need an interpreter, please let us know for which language.  We will do our best to accommodate all requests.
What are some of the reasons you are interested in attending the Adult Down Syndrome Clinic?  
Parent/Guardian Information
First Name *
Last Name *
Cell Phone *
Email Address *
Please select your appointment time. *
Required
How did you hear about the Adult Down Syndrome Clinic?
Please be as specific as possible. If referred by a friend, please indicate his/her name.
Photo/Video Release
Orlando Health and/or the Down Syndrome Foundation of Florida may gather photos and video of program participants, people with Down syndrome, their families and friends for the purposes of education, celebration, promotion and awareness. Orlando Health and The FOUNDATION may also use such media as content in presentations that teach families and educators across the nation how to work with children with Down syndrome.

I am a parent/guardian.  I have read the above and fully understand its contents. *
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