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Infant Preschool Wellness Intake

Infant Preschool Wellness Program

Infant Preschool Wellness Program Referral
To make a referral to the Infant preschool Wellness Program, please complete the following information. If you have any questions, please contact Manager of Early Childhood Services at 403-309-5647
Referral Date:*
Parents/Guardian 1*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Parent Contact*
Phone Email
Parent/Guardian 2*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Parent Contact*
Phone Email
Child's Information*
Child's Last Name Child's First Name Middle Initial Date of Birth Gender
Reason for Referral*
Referral Source*
Name Title Agency Email
Phone*
Address*
Street Address Address Line 2 City Province Postal Code
Consent*
I Confirm that the Parent/Guardian is aware of and agrees to this referral
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Contact Details

Main Office:

Family Services of Central Alberta

5409 - 50th Avenue

Red Deer, Alberta

T4N 4B7

Office Hours

Main Office:
8:30am – 4:30pm

Extended hours on Monday/Tuesday:
5:15pm – 8:00pm

Phone: 403-343-6400

Fax: 403-343-6407

Toll Free: 1-866-414-3722

Email us: fsca(at)fsca.ca

Park Plaza Intergenerational Centre

5214 - 47 Avenue, Red Deer

Visit by appointment only Phone: 403-967-0171

FSCA Play Space

Hours of Operation:
Monday & Thursday
9:30am – 12:00pm & various program times.

Parkland Mall: 4747 - 67th Street, Red Deer

Phone: 403-309-5653

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