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]
Other Sun 9am 12noon [X]
Other Mon 5pm 8pm [X]
Other Tue 5pm 8pm [X]
Other Wed 5pm 8pm [X]
Other Thu 5pm 8pm [X]
Other Fri 5pm 8pm [X]
Other Sat 9am 12noon [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:
Supplemental 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 CE.RecordsUpdate@hccontario.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:
      Cervical Cancer Screening
      Family Medical Centres
      Urgent Care Centres
      Walk-In Medical Clinics



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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