https://forms.office.com/r/GSZr3nm1Nv
*** Form submissions are open from December 8th to December 12th, 2025.
* Only one submission per household is needed.
* Home Address: Please ensure your address is completed in full, including street address or P.O. Box, city, province, and postal code. We use Canada Post, so the address must be one that receives mail through Canada Post.
* After submitting, please wait for the confirmation message—this confirms your form has been received.
* If you experience any issues completing the form, please contact the Health Centre for assistance:
o Phone: 250-725-3335
o Email: healthreception@tla-o-qui-aht.org or lacey.adams@tla-o-qui-aht.org
Wishing you and your loved ones a safe and joyful holiday season
