Outreach Request Form
Outreach teams are an integral community support, and a part of the larger social services picture. In Edmonton there is a need for outreach services, as the older adult population is growing and becoming more diverse.
The Strathcona Place 55+ Outreach Team (SPOT) is a group of caseworkers who’s goal it is to provide supports for individuals in the Edmonton area who are in need- including, but not limited to, the 55+ community. The Strathcona Place 55+ Centre Outreach Team’s goals include making outreach free, accessible, diverse, compassionate, and effective.
This outreach form is a preliminary intake measure for out caseworkers to assess the needs of the individual. This form does not require confidential information. However, it does requires general contact information. In this manner, we can intake, asses, and contact clients in a timely and private manner. If you, or someone you know is in need of support or help, please feel free to fill out this form.
Filling out this form is agreeing to voluntarily consent to provide the necessary information. Strathcona Place 55+ Centre and the Strathcona Place Outreach Team obtain and disclose personal information in accordance with the Personal Information Protection Act (PIPA), and are not liable for any or all misuses of this form. This information obtained in this form is to be used for informational and resource referral only. Strathcona Place 55+ Centre and its employees are not responsible for actions taken beyond these measures, and are responsible only for informative purposes.
If you are in need of emergency assistance, please call 9-1-1 immediately.
Page 1 of 6
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service