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Caregivers at Trinity Village Care Centre

Thank you for registering as a Caregiver at Trinity Village Care Centre. Below you will find the form to request your visits. Please book each visit a week in advance to leave room for processing.

Trinity Village recognizes that being able to connect with family and friends is essential to the emotional health and well-being of the people who live at Trinity Village. We are committed to working with family are care partners to support these connections while maintaining a safe environment for residents and staff.

If you have not yet requested to be a Caregiver at Trinity Village Care Centre please do so before completing this form. You can register to be a Care Centre Caregiver by completing our Caregiver Designation Form HERE.

Care Centre Caregiver Visit Request Form

Please note all fields marked with a red asterisk must be completed to submit form.

* Have you been approved as a caregiver?

* Name of Resident

* Location of Resident's Room

* Please select the day(s) of the week you are requesting a visit for

* Please specify what time you will be visiting for each day you requested

Caregiver Contact Information

* Name

* Phone Number

* Email

To avoid delays, please review all contact information carefully to ensure that they have been entered correctly.

If your application was successfully received you will receive a confirmation to the email given here. Only call if you do not receive the confirmation within 12 hours.

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