Pre-Intake Form

CONTACT US

Call: 905-836-7601 x0

Or fill out the Pre-Intake Form and the Program Coordinator will reach out to you directly.

Fill Out the Pre-Intake Form

    Do you have any children?
    YesNo

    Is it safe to leave a voicemail identifying the York Region Centre for Community Safety?
    YesNo

    Is it safe to send an email identifying the York Region Centre for Community Safety?
    YesNo

    Have you received services from YRCCS in the past?
    YesNo

    Do you need translation support?
    YesNo

    Skip to content