You know better than anyone what helps you feel at ease within healthcare and social service settings. This booklet can help ensure interactions with service providers and facility staff are affirming and inclusive, for yourself and anyone accompanying you during your visit.
Complete and send this booklet to any new service providers ahead of your first appointment or use it to guide a personalized email or phone call. Alternatively, you may print and present it to
reception upon your arrival.
Keep this booklet in an easy-to-find location and review your responses before meeting any new providers to ensure it still reflects what you wish to convey.
Be sure to also let anyone accompanying you know what information should and should not be shared during the appointment.


This work was funded by a Dementia Community Investment grant from the Public Health Agency of Canada. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.