Individuals and Families
Online Registration Form
Name:
Company Name:
Address:
City:
Province:
Postal Code:
Telephone:
Fax:
Email:
User Name:
Please choose a 6-10 letter user name
Password:
Please choose a 6-10 letter password
Re-type Password:
Please re-type your password
For more information please contact Us:
Workplace Health Services
1400 Windsor Avenue
Windsor, Ontario, Canada
N8X 3L9
Telephone:
(519) 255-1749
Facsimile:
(519) 255-7817
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© 2004 Canadian Mental Health Association, Windsor Essex County Branch. Last Updated
8/16/2011