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Engagement Group Registration

Please fill out the following form to sign up for the group.

Groups take place on Tuesdays at 12:30pm at Our Place Community of Hope.

If you are unable to attend or have any questions please call our intake line

at 416 926 8267 ext. 110

Client First Name

Phone Number

Client Last Name

Email address

Full Name of Worker

Worker Number (if applicable)

Worker Email (if applicable)

Have you completed the intake process?

No

Yes

If there is any other information we should know please provide below.

Thanks for signing up!

Board of Directors

Engagement Program

Residential Treatment Program

Transitional Housing Program

Funded in part by the Government of Ontario. The views expressed are those of St. Michael’s Homes and do not necessarily reflect those of the LHIN or the Government of Ontario.

Ontario Health Toronto Regio Multi-Sector Services Accountability Agreement (PDF)

After Care Program

Charitable Registration # 10794 9893 RR0001

Copyright © 2018 St. Michael's Homes. All Rights Reserved.

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