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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
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You can expect to hear from Wellspring within two business days. Thank you.
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