Seniors Life Enhancement Centre

SLEC welcomes and encourages applications from those with disabilities and will make every effort to accommodate any needs of candidates under the Human Rights Code and Accessibility for Ontarians with Disabilities Act (AODA). Please inform us if you require any accommodation through the application process

If you are interested in the services provided by Seniors Life Enhancement Centres please complete the enquiry form below. You will be contacted upon receipt of this Enquiry Form.

The programs offered by Seniors Life Enhancement Centres are designed for the Mississauga Halton LHIN population who have physical impairments independently or who have Alzheimer’s disease or other cognitive impairments that interfere with their capacity to function. The program offers stimulating, therapeutic, social, and recreational activities that enhance the quality of life of our clients while providing respite and support to caregivers.

Which Program are you applying to be referred to?(*)

This enquiry is for Circle of Friends (adult day service for clients with Alzheimer's disease, dementia and/or other cognitive impairments)
This enquiry is for Gathering Place (adult day service for clients with any of the following: physical disabilities, mild cognitive impairments, frail health)
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Potential Client's Name(*)

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Name of person enquiring(*)

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Your relationship to the client(*)

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Are you the Primary Caregiver?(*)

YES No Invalid Input

Organization you are affiliated with (if applicable)

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Your Phone Number(*)

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Your Email Address(*)

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Name of Primary Caregiver

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Primary Caregiver Relationship To Client

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Primary Caregiver Phone Number

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Primary Caregiver Email Address

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Please indicate the diagnosis of the client and/or current functioning level.

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Are you currently receiving services coordinated by the Community Care Access Centre (CCAC)?

Yes No Invalid Input

Name of Case Manager

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Adult Day Service Enquiry Form