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Tell us! The Voice of Patients Clients and Families
 

Your story may be about you or someone you care about.  If you are telling us about someone else's experience, they may need to give us permission to look into their care.

The privacy of the patient, resident or client will be protected at all times under the Personal Health Information Act.




Date
6
Interlake-Eastern RHA Facility:
1
Comments:
5
Filled out by:  Patient/Client
 Family/Friend

3
Would you like a response to your comments? If yes a name and an email address are required.  Yes
 No

3
Email address:
1
* Name:
1 1
Optional - Telephone Number:
1
* Address:
5 1




 


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