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Please confirm that you live in the Province of Ontario YesNo
Please let us know if you are a:PatientCaregiverFamily Member of a Patient
Please let us know your preference for this meeting: I prefer to meet By TelephoneIn Person at a Wellspring CentreOnline via Video ConferenceNo Preference
If you selected to meet in person, please let us know which centre you prefer for the meeting: I prefer to meet at Wellspring Westerkirk House (at Sunnybrook)Wellspring Birmingham Gilgan House (Oakville)Wellspring Downtown TorontoNo Preference
Please let us know the best time to contact you for this appointment:MorningsAfternoonsEarly EveningsAnytime
Lastly, is there any further information you wish to share at this time to help us understand your situation or schedule your appointment?
The Wellspring Money Matters Case Manager will connect with you as soon as possible. Thank you.
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