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