Canadian Therapeutic College (CTC)

Public Clinic | Clinic Outreach Form

Please complete the form below to submit a proposed outreach opportunity. Once viewed, the Director of Clinic and Outreach will contact you directly via email to follow-up on your request.

First/ Last Name:

Organization:

Address:

Phone Number:

Email:

Location of Event (City):

Event Date (dd/mm/yyy):

Event Type:

Additional Information:

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