Expression of Interest for Community Advisory Council Membership
Thank you for your interest in joining the Community Advisory Council (CAC) of the Downtown East Toronto Ontario Health Team (DET OHT). To apply to be a member of the CAC, kindly complete the form below. 

If you have questions or would like support filling out this form, please do not hesitate to email Jennifer Mcintosh-Butts at Jennifer.Butts@tngcs.org 

Please note, all information contained on this form is considered confidential and is intended for use by only the CAC Membership Committee. 
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First Name
Last Name
Preferred Pronouns
Email
Phone
Do you live in the Downtown East Toronto?
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Do you receive care in the Downtown East Toronto?
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What is the best way to contact you? Select all that apply.
When is the best time to contact you? Select all that apply.
Can we leave a message (e.g. voicemail)? 
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