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You must have JavaScript enabled to use this form. This course is available to Long Term Care Home (LTCH) staff throughout the South West LHIN region, including Physicians, RN, RPN, PSW, occupational therapists, social workers, and additional healthcare personnel in a Long-Term Care setting. We invite you to join our wait-list below. When a session becomes available in your sub-region, you will be contacted by email. We are organizing upcoming sessions of Mental Health First Aid for Seniors. In the meantime, please add your name to our wait-list below. Contact First name Last name Your email Where do you work Sub-Region - Select -Grey BruceLondon MiddlesexOxfordHuron PerthElgin Name of Long Term Care Home (Grey Bruce) Name of Long Term Care Home (Grey Bruce) - Select -Brucelea HavenCountry LaneElgin AbbeyErrinrung ResidenceGateway HavenGeorgian HeightsGolden DawnGrey GablesHanover Care CentreLee ManorMaple ViewMeafordParkview ManorPinecrest ManorRockwood TerraceSouthampton Care CentreSummit PlaceTrillium CourtVillage Seniors' CommunityOther… Enter other: Name of Long Term Care Home (London Middlesex) Name of Long Term Care Home (London Middlesex) - Select -Babcock Community CareChateau Gardens London/Chartwell LondonChateau Gardens Parkhill/Chartwell LondonChelsey Park OxfordCountry TerraceCarigwell GardensDearness HomeEarl's CourtElmwood PlaceExtendicare LondonHenley PlaceKensington VillageMcCormick HomeMcGarrell PlaceMeadow Park Care CentreMiddlesex TerraceMount Hope CentreOneida Nation of the ThamesPeopleCare OakcrossingSprucedale Care CentreStrathmere LodgeVillage of Glendale CrossingWestmount GardensOther: Enter other… Name of Long Term Care Home (Oxford Norfolk) Name of Long Term Care Home (Oxford Norfolk) - Select -Caressant Care CourtlandCaressant Care WoodstockMaple ManorPeoplecare TavistockSecond TrailsThe Maple TavistockWoodingford Lodge IngersollWoodingford Lodge TillsonburgWoodingford Lodge WoodstockOther: Enter other… Name of Long Term Care Home (Huron Perth) Name of Long Term Care Home (Huron Perth) - Select -Blue WaterBraemarCaressant Care ListowelExeter VillaFordwich VillageGreenwood CourtHillside ManorHuronlea HomeHuronview HomeKingsway LodgeKnollcrest LodgeMaitland ManorMitchellPeopleCare StratfordQueenswayRitz Luteran VillaSeaforth ManorSpruce LodgeWildwood Care CentreOther: Enter other… Name of Long Term Care Home (Elgin) Name of Long Term Care Home (Elgin) - Select -Bobier VillaCaressant Care on Bonnie PlaceCaressant Care on Mary BuckeChateau Gardens AylmerElgin ManorExtendicare Port StanleyTerrace LodgeValleyview HomeOther: Enter other… Tell us a little bit more about you Regulated or Non-Regulated Health Care Professional? - Select -RegulatedNon-regulated Are you a BSO embedded staff? - None -YesNo How did you hear about this training opportunity? How did you hear about this training opportunity? - None -HealthChatEnhanced Psychogeriatric Resource Consultant (EPRC)Virtual Team Network (VTN) meetingDirector of Care (DoC) / LTC Home AdministratorColleague at your LTC HomeMobile Team MemberStaff Member from the Alzheimer’s SocietyOther: Enter other… This personal information is being collected under the authority of the Public Hospitals Act R.S.O. 1990, CHAPTER P.40 for the purpose of contacting the sender in response to an inquiry. If you have questions about the collection of this information, please contact Privacy and Freedom of Information, St. Joseph's Health Care London, 268 Grosvenor Street, London, ON,519-646-6100 ext. 65591.
