Our Commitment to Your Well-being

We understand that seeking support is a courageous step. Our intake process is designed to be confidential and respectful, ensuring your privacy is maintained while providing the holistic care and traditional values you deserve. We are here to listen and walk alongside you on your healing journey.

Request Support

We are here to listen and provide the care your community deserves. Please fill out the intake to request the specific support you're seeking.

Contact Information

info@pfnf.ca

807) 223-5080

Paawidigong First Nations Forum Inc.

Intake Form

First Name

Last Name

Email Address

Phone Number

Address

Birth Date

Year

Month

Day

Sex

Female

Male

Non-binary

Other

Service You Are Seeking?

Tell us about yourself. Why are you reaching out? What do you need help with?

Which Community are you from?

Allergies

Yes I have allergies

No I do not have any allergies

Please list what allergies you may have, food or otherwise:

I am checking this box to release Paawidigong First Nations Forum of any liability for any injury to myself or damages or losses to any of my personal property while I am joining in on programming hosted by Paawidigong First Nations Forum Inc.

I am checking this box to consent to participating in the programming held by Paawidigong First Nations Forum Inc.

Additional Information