ACCESS Inquiry
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There were problems with the following fields:
Requester
Subject
Details on Your Inquiry
Region
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British Columbia
Edmonton
Prairies
Ontario
Quebec & Maritimes
Other/Unknown
Centre
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Centre
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Full Name
Telephone #
Inquiry Type
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Bereavement Support
Conciliation and Arbitration Board Support Request
Early Childhood Education Information
Financial Information or Support
Future Ready Initiative
General Question
Grocery Request
Housing Support
Health Inquiry
Job Readiness Support
International Student Support
JK Registration
Pastoral Support (MKs)
Other
Personal Will Support
Religious Education & Support
Rites of Passage Question (Bayat, Funeral and Weddings)
Senior Support
Settlement Support
Social Support
Youth and Sports Information
Incident
Preferred Language
Gender
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Male
Female
Non-Binary
Prefer Not to Disclose
Are you completing this form on behalf of someone?
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Yes
No
Is the contact information submitted on this form yours?
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Should we contact you first before we contact the murid?
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If you are filling this form out on behalf of someone, what is your relationship to them?
Are you requesting support for single individual or a family?
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Single Individual
Family
Age
Please indicate the nature of your health query by selecting an option from the dropdown below:
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Information about health board programming (Mental Health First Aid, Baby2B etc)
Question about counseling or medication subsidies
How to connect to a family physician
Personal health-related question (seeking information or help with healthcare navigation)
Other
Are you requesting settlement support for yourself or someone else?
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Myself
Someone else
What is the best time to contact you by phone? We will do our best to adhere to your requested time slot.
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Weekday
Weekend
Time of Day
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Would it be okay to leave you a voicemail if we cannot reach you?
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