Speak with a Care Manager

Please tell us about your care needs in the form below. One of our specialized Care Managers will contact you within one business day to discuss your specific needs and help you get started.

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Contact Info

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Care Information

Client Name (if different):Required
Some services are unavailable in Hamilton and Mississauga. Please select “I’m not sure and don’t know where to start” to discuss options in those locations.
What type of care are you looking for?Required
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Acclaim Health is committed to individual privacy and has taken reasonable precautions to ensure the security of the information you are submitting through this online form. By clicking “I agree” you are acknowledging and accepting the potential risks inherent in submitting personal information and/or personal health information online. Please contact us by telephone at 905-827-8800 if you do not wish to submit this information online and we will be happy to assist you.
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