Advance Care Planning Program Public Mail Out Request Form

Advance Care Planning Program Public Mail Out Request Form

NOTICE: Mail outs may be delayed due to Canada Post job action

Mail Out Request Form

Name*

phone number

Phone

Street Address*

City*

Postal Code *

What do you want mailed out?

Select

How many copies do you require?

1

Do you require any supplemental resources?

Select

If you have questions or need additional information contact the Advance Care Planning Program

Email: advancecareplanningprgm@saskhealthauthority.ca

Phone: 1-306-766-5922 or 1-833-544-2255

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