SUGGEST AN UPDATE


Describe your organization or service using the form below, and then click "Submit Service" when completed.

Your submission will not be displayed online until it has been reviewed and standardized by administrative staff.



Service Name:
Name 1:   
Name 2:   
Name 3:   
Former Name:   
Contact Details: Main Phone:   
Toll-Free:   
TTY:   
Crisis:   
After Hours:   
Fax:   
Email:   
Website:   


Mailing Information: c/o:   
     Street Address: (if different)
Building:   
Address:   
City:   
Province:   
Postal Code:   
Room:
Intersection:
Accessibility:
Accessibility Notes:
Hours:
Type of hours:
Other type label:
Day of Week
Opens:
Closes:
 
Type Holiday Day of Week Opens Closes
Administration Mon 9am 5pm [X]
Administration Tue 9am 5pm [X]
Administration Wed 9am 5pm [X]
Administration Thu 9am 5pm [X]
Administration Fri 9am 5pm [X]
Hours Notes:
 
Dates Available:


Executive: Name:   
Title:   
Organization:   
Phone:   
Email:   
Executive 2: Name:   
Title:   
Organization:   
Phone:   
Email:   


Public Contact: Name:   
Title:   
Organization:   
Phone:   
Email:   
Public Contact 2: Name:   
Title:   
Organization:   
Phone:   
Email:   
Service Description:
Meetings:





Funding:
Fees:
Application:
Eligibility / Target Population
Languages:



French
Language Note:
Area Served:
Year Established:
Legal Status:


Downloads:   
PDF documents to be included with a service profile can be emailed to healthline.info@ontariohealthathome.ca (max. 500 kB in size)


YouTube Video #1 URL:   
Title:   
YouTube Video #2 URL:   
Title:   
YouTube Video #3 URL:   
Title:   


Categories:   
This service profile appears in the following categories:
      • Family Health Teams


Please ensure that you include your name, email address and telephone number in case we need to contact you to confirm your changes.
Source Contact: Name:   
Title:   
Organization:   
Phone:   
Email:   
Comments:


Types of Changes Submitted:
       
 

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