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未命名標題
Outreach Team For The Elderly - Registration Form
老友記外展大使隊報名表
We would like to invite you and your families & friends to make an ongoing commitment to…
- conduct health check-ups;
- conduct home safety assessment;
- disseminate health information;
- offer your love and care to
the singleton elders, elderly couples and hidden elders living in Hing Wah Estates I & II in Chai Wan.

Each team will visit 2-3 households per visit, and spend about 1 hour for each household. For details, please visit http://www.hkma.org/communityhealthacademy/indexc.htm.

Name of HKMA Member (Principal Applicant)
Your answer
HKMA Number
Your answer
Gender
Mobile No.
Your answer
Email Address
Your answer
Please indicate your preferred timeslot(s) for home visit (You may choose more than one timeslot)
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