Download the Basic Client Intake Form

Admin- Basic Client Intake – 2019 05 21Download

Please help us to serve you better by keeping your information current. NOTE: Additional information may be required at your next appointment.

This form must have a completed “Client Consent and Release of Information” form attached to be valid.

Instructions

  1. Download the Client Intake Form.
  2. Complete the form on your computer and print, or print it out and complete by hand.
  3. Submit your completed form to G.R.E.A.T.:
    1. By fax to 519-445-4777, or
    2. By mail to:
      The GREAT Business Opportunity Centre
      P.O. Box 69
      16 Sunrise Court
      Ohsweken, Ontario N0A 1M0