APPLICATION FOR SERVICES

  • Rehabilitation Society | Application for Community Access Services

  • Please list the people and/or organizations that provide you with support (Family, service providers, government staff):
    * You and/or your guardian (if applicable) will be asked to sign the form that you submitted and to give consent to receive email communication from us.
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    Once we receive your application, we will contact you to discuss service options in more detail. If legal guardianship is in place, we require a copy of the guardianship order upon acceptance to services. Part of the intake process includes the completion of a release of information, consent forms, medical information and initial risk assessment.