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At our office, in your home, or at a cafe, we want to hear your story and show you why Spark* Lifecare was named Ottawa's Rising Star. Fill out our questionnaire below to request a free Discovery Session.  

Discovery Questionnaire 

Referral Information
My Name *
My Name
My Phone Number
My Phone Number
Person requiring care's information
Area care would be needed in:
Funding Situation
Please tell us a bit about some challenges this person lives with. Ie. Diagnosis, Social Issues, Family Dynamics, etc.
Interests
Just to name a few. Please expand on other interests in the Profile Section below.
Tell us a bit more
I would like services to start
My ideal level of support would be:
Schedule *
My ideal schedule would be:
Consent to Communicate *
I give my consent to receive more information about Spark* Lifecare services, community events, new funding opportunities, etc.
Get Started with a free consultation