BCANDS Request For Services / Limits of Confidentiality and Release of Information Forms (Printable)

                                   BCANDS “From the Outside Looking In…”                              2017 Indigenous Disability and Wellness Gathering 

On November 29th, 29th and 30th during the third anniversary of November being declared and proclaimed as “Aboriginal Disability Awareness Month” in British Columbia BCANDS will host the 2017 “From the Outside Looking In…” – Indigenous Disability and Wellness Gathering in Victoria, British Columbia.

To learn more about the Gathering please click on the banner below to be taken to the 2017 Gathering website. Want to keep up-to-date on all the Gathering happenings as planning moves forward?  Follow the Gathering on Twitter!

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PRINTABLE REQUEST FOR DISABILITY SERVICES FORM

* For the text to voice option, on any page of the BCANDS website, simply highlight the text you wish to hear and click on the speaker icon!


In the event that you are unable to complete the online Request for Disability Case Management / Navigation services, please print the Request for Services PDF document below.

BCANDS Service Request / Limits of Confidentiality and Release of Information Forms

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Please complete all areas, including the Limits of confidentiality document and fax to: BCANDS DCM at (250) 381 – 7343,

or mail to:

Attention: BCANDS DCM                                                                                          

1179 Kosapsum Crescent,                                                                                                                                                             Victoria, British Columbia – V9A 7K7

Thank you.