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Social Prescribing Initiative Description
Please describe your social prescribing initiative.

By filling out this form, you agree for this initiative to be listed on a public mapping of social prescribing initiatives in Canada. The map will be used by health system and community providers, policy influencers, and those interested in implementing social prescribing for awareness and to facilitate collaboration. It is not meant to be client facing for service provision.
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Organization Name *
Organization website (or webpage with information on your social prescribing initiative, if available) *
General regional boundaries or catchment area of the initiative (e.g. LHIN, municipalities, postal codes, or street boundaries) *
Key target population for social prescribing *
Required
Languages available *
Required
Brief description of your initiative. List any key partners. *
Name of contact person (if you wish to be listed)
E-mail of contact person (if you wish to be listed)
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