HPCO Accreditation - Request for Information (2017-OPEN)

Thank you for your interest in HPCO's Accreditation program. In order to manage requests for information, please complete this form and an HPCO representative will contact you within 2 weeks to schedule an information session.

The information session is approximately 60 minutes in length and will be held via teleconference and online webinar.

Please note that HPCO's Accreditation program is available to HPCO organizational members. A shorter overview of the program can be provided upon request for those who are not current organizational members of HPCO.

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* 1. Your name:

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* 2. Organization

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* 3. Is your organization a current member of HPCO?

Yes

Not sure

Other (please specify)

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* 4. Your work email address:

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* 5. Your phone number:

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* 6. Preferring timing of information session:

Weekday morning (9:30-10:30)

Weekday over lunch hour (12:00-1:00)

Weekday afternoon (1:30-2:30)

Weekday evening (5:30-6:30)

Thank you for completing this survey! An HPCO representative will be in touch shortly to schedule an information session and/or to discuss next steps. In the interim, please contact our Manager of Hospice Services at astenekes@hpco.ca if you have any questions.