How to request a volunteer

To request a volunteer for your upcoming visit, please fill out the form below or give us a call at 647-460-4643

NOW ACCEPTING PATIENTS!

Volunteer Request Form

Patient's first name

Patient's last name

Phone

Date and time of appointment

Year

Month

Day

Time

HoursMinutes

Location of appointment

Choose which services you would like to recieve

Summarizing and explaining information provided by staff

Note taking

Assisting with technology

Reminders about follow up visits and follow up care requirements

Other

Would you like the volunteer to accompany you during the appointment, or would you prefer they wait outside?

Accompany you during the appointment

Wait outside

Is there anything specific service that you would like assistance with that was not mentioned?

Tell us about yourself! Feel free to share any hobbies or interests you have. This information helps us match you with a volunteer whose personality and interests align well with yours.

Is there any additional information we should be aware of?

Golden Care Collective

How to request a volunteer

Volunteer Request Form