ADD A NEW SERVICE PROFILE



Thank you for your interest in adding a service to this directory of health and social services in Ontario.

The following questions help determine your service’s eligibility for inclusion on thehealthline.ca.

Is your organization or service one or more of following agency categories?




Service Name:
Level 1:   
Level 2:   
Level 3:   
Level 4:   
Level 5:   
Former Name:   
Phone Numbers: Office:   
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:
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:   
Provider Contact: Name:   
(if different) Title:   
Organization:   
Phone:   
Email:   
Description:
Meetings:
Provider Notes:






LHIN Funded:
Funding:
Fees:
Application:
Application Notes:
Target Population/Eligibility:
Age:
Minimum:    Maximum:  
Languages:



French
Language Note:
Area(s) Served:
Year Established:
Legal Status:



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



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



       
 



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