When

Thursday, April 27, 2023 at 11:00 AM EDT
-to-
Thursday, June 15, 2023 at 12:00 PM EDT

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Where

Online via ZOOM

Contact

Vijaya Kantipuly
Ontario Brain Injury Association
1-800-263-5404 ext 249
vkantipuly@obia.on.ca

Online Caregiver Support Group - Thurs Apr 27 - June 15, 2023, 11 am - 12 noon

This group was created to provide support for caregivers of an individual with brain injury. This group runs for 60 min. per week for 8 weeks and is open to people who are supporting someone with an acquired brain injury.

* Required information

Personal Information

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Consent for Release of Information

  • I authorize the ONTARIO BRAIN INJURY ASSOCIATION (including the Executive Director, Social Worker/Clinician and Care Team Members) to disclose personal information in a secure and confidential way to enable providing appropriate support/services to my requirements. This applies to information in all forms: paper charts, administrative forms, and electronically based. I understand the purpose of sharing this information to receive care/services and may share with other service providers (where required). I also understand I may revoke this consent at any time. Note: if you have a concern about this consent, please contact our office at www.obia.ca or call: 1-800-263-5404.

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    I have read the Consent for Release of Information above and:

Personal History

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    I am a caregiver for (if not listed here, please see next question):

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    Type of Brain Injury:

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I do not wish to receive any further correspondence from Ontario Brain Injury Association

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