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Family Respite Centre Meals on Wheels Vancouver Richmond Health Promotion Services - immunizations and awareness
Title - Health Promotion Services

BOOKING OUR SERVICES

Thank you for your interest in booking our Health Promotion Services for your business or organization. This convenient e-mail form can be used to book our services or request more information. The Health and Home Care Society of British Columbia will contact you within five business days to set up your clinic or answer your questions.

Please note: All information denoted with * is required to complete the booking.

Company Name*
Contact Person*
Contact Email*
Address
Address 2
City
Postal Code
Mailing Address (if different)
Mailing Address 2
Company Telephone*      Ext
Company Fax*
 
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Please choose one
Book a program Information request

*Please note you may make as many selections below as you wish.

 
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Immunization Programs
Hepatitis A Hepatitis B
Hepatitis AB Influenza
Tetanus & Diphtheria
 
Health Education Programs
Breast Health/Cancer Diabetes Health
Heart Health Nutrition/Physical Activity
Prostate Health/Cancer Skin Health/Cancer
Occupational Health Nursing Program
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Other Services (Please specify under "Comments")
   

If you are booking a program, please give us your preferred dates and times:
If you are booking a program, please tell us approximately how many persons will be attending:
 
Comments