Apply for personal assistance

Request for personal assistance

Name

City

Age of beneficiary

Phone number

Email address

Are you already in contact with your local CLSC to arrange services?

Yes No

What kind of services do you need?

Help with hygiene care Help with meals Help with taking medication Help with moving and transfers Stimulation activities, safe supervision

3323 Grande Allée
Saint-Hubert, Quebec J4T 2S9

Telephone: 450 466-8444
Fax: 450 466-4277

Agency permit: AP-2000557

3323 Grande Allée
Saint-Hubert, Quebec J4T 2S9
Telephone: 450 466-8444
Fax: 450 466-4277

Agency permit: AP-2000557

3323 Grande Allée
Saint-Hubert, Quebec J4T 2S9
Telephone: 450 466-8444
Fax: 450 466-4277

Agency permit: AP-2000557

We have received your request for personal assistance. We will contact you as soon as possible.

We have received your request for home help and you are now on our waiting list. We will contact you as soon as we are able to offer you service.