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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.

Request Account 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:
  Postal Code:
Position:
Phone Number:
       Ext:
Other Comments:
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This site is maintained by the Mental Health Centre, Penetanguishene.