Skip to main content

Independent Living Seniors Intake Form

Please fill out this form to request information about our Independent Living & Seniors' Services.

Once we receive the form, our staff will contact you.

Before filling out this form, please review the location information below to ensure that you are eligible:

  • Supportive Housing: East York

  • Case Management: Coxwell to Victoria Park, Danforth South to Lakeshore

  • Adult Day Programs: East York/Downtown West

  • Personal Support Workers: East York/Downtown

  • Homemaking: Yonge to Pharmacy, Danforth South to Lakeshore

  • Transportation: Toronto

  • Meals on Wheels: East York

  • Respite Care: East York/Downtown

  • Social Service Work: Toronto

Preferred Method of Contact:   *

(YYYY-MM-DD)

Self-Referral   (Optional)
What help Do You Need?   *

Submitting...