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Quick Info
All account requests are processed during normal business hours.
Hours of operation are:
Mon - Fri : 08:00 - 16:00
Sat - Sun : Closed
Account requests are not processed on statutory or civic holidays.
For more information please use the "Contact Us" link.
Account Request Form
NOTE: Please use your work e-mail address when requesting an account. Accounts will be denied with e-mail addresses from third party companies such as Rogers, Sympatico, Hotmail, G-mail, Yahoo, etc.
First Name:
Last Name:
E-mail Address:
Employer:
Work Address:
City/Town:
Province:
[Choose a Province]
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code:
Position:
Phone Number:
Ext:
Other Comments:
This site is maintained by the Mental Health Centre, Penetanguishene.
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