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Referral Forms

In order to become a LEO client, an onboarding process needs to be completed.  For some of our programs, a  referral form is required. 

 

If you are a service provider interested in referring someone to one of the programs below, please complete the form and submit according to the program instructions listed below. 

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LEO Referral Forms

Retirement Home Support Program and Crisis Intervention 

Please fax or email referral to: 519-845-1364 or specializedservices@lambtonelderlyoutreach.org

Lambton Elderly Outreach

Providing support services that enable clients to live with dignity and independence.

Address: 4486 London Line, R.R.#1, Wyoming, Ontario  N0N 1T0

Email: info@lambtonelderlyoutreach.org

Phone: 519-845-1353

Charitable Registration:

107594202RR0001

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LEO is committed to meeting the needs of people with disabilities promptly and shall do so by preventing and removing barriers to accessibility and meeting accessibility requirements under the Accessibility for Ontarians with Disabilities Act. Visit our Policies page to read more.

© 2024 by Lambton Elderly Outreach

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