How to register (Ontario)

If you are a resident of Ontario living with ALS, PLS, PMA, PBP, KD or Certain HSP diagnosis, and would like to access our supports and services, please complete either the online form or download the registration form and email it to us.

Option 1: Online form

Option 2: Download PDF

After you fill out the PDF registration form, please email it to register@als.ca or fax it to 416-497-8545.

After your submission

Once we have received your form, you will received a automatic notification confirming your submissions (please check your junk mail if you don’t see it). A member of our Community Services team will reach out within 2 weeks.

Registration for other provinces

If you are looking to register for ALS support and services, and you are not a resident of Ontario, you are required to register with your province’s ALS Society.