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Work Request
In emergencies please contact Faz at 647-207-7571 (text or call) or FB MESSENGER
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Therapist Name (You can choose to be anonymous)
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Your answer
Describe the issue, request
Location of problem
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Your answer
Type
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Interpersonal Issues
Equipment Issues
Scheduling Issues
Idea sharing
Treatment/Skills related
Client related issues
Other:
Priority
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Very Low
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2
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4
5
Very High
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