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CCS Service Facilitators - Please fill out referral form
Thank you for considering a referral to EmployAbility/EmpowerAbility
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Before completing the referral form below, please acknowledge that you:
- Have you discussed the service with your client, and they are interested.
- The client is available to meet between the hours of 9:00 am and 5:00 pm during the Monday to Friday work week?
- The client understands if they do not attend their scheduled appointment or cancel less than 24 hours before the appointment three times, services will be discontinued.
General Inquiries
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