Client Intake Form
Download our Client Intake Form and once it is completed, send to:
Mel Taypotat, Outreach Worker
Box 400.
Fort Qu’Appelle, SK. S0G 1S0
Email: mtaypotat.ltl@sasktel.net
Fax: (306) 332-1850
If you require assistance with completion of the Intake Form or have any questions about the intake process, please contact Mel by telephone at: (306) 332-5659, ext. 225 or (306) 331-5963