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PBCC Application Form

The West Toronto Ontario Health Team (OHT) is currently accepting applications for Partners to sit on the Partners for Better Care Council (PBCC). The Partners for Better Care Council (the Council) is a group of diverse, passionate people with lived experience - who share a desire to improve the experience for patients, families, caregivers, and staff. From their diverse expertise, knowledge and lived experience, partners on PBCC help advance an equitable approach at the OHT through providing key feedback and co-creating engagement efforts for the community.

 

Please fill out the form below to apply to be a member of the Partners for Better Care Council.  

 

If you have questions or would like support with filling out, understanding, or submitting your application please contact Rumaisa at rkhan@4villages.on.ca or 416-559-7147 to assist in filling out this form.

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7.  

Do you currently reside in West Toronto?

8.  

Please select all that apply. I am a....

9.  

I have lived experience or have knowledge of the following health-related sectors and/or topics. Check all boxes that apply. 

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12.  

It’s important to our team that we hear from many different community voices to ensure representation in our Council and to ensure we are bringing a variety of perspectives to the West Toronto Ontario Health Team (OHT). 

Please check if you identify with or belong with any of the below groups. You can check off as many options that apply and answer only what you are comfortable answering.