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HomeMy WebLinkAboutTimes Advocate, 1999-06-30, Page 7Wednesday, June 30. 1999 Exeter Times -Advocate 7 r r 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 1 X E D 1 S 1 C H A M B r 0 r C U �1 L R C G L The Exeter & District Chamber of Commerce and South Huron Hospital are requesting your input to help us determine the need for a Medical Clinic. The South Huron Area has been successful in rearuidng a Nurse Practitioner (September, 1999) and a Medical Physidan (July, 2000). It is now time to proceed with fincdng space for our present and future health service providers. Please take a few minutes to complete tNs survey, so we can determine other health . services which are needed in the Exeter Avert. i) Are you a resident of: U Exeter GI Stephen 0 Usborne 0 Hay 0 Other; Distance from Exeter: White Squirrel Household Occupancy: Please Li indicate the numberof people in each age group in your residence: UnderI-'7 18-44 • L. j45-64 Li 65& 2 years years years older iii) Service Raiding Rank 4 Services from I (most important) to 4 (less important), which would enhance Health Services in Exeter and Surrounding Area: SERVICES Rank i-4 Need more of this Used this Service Would have used Service in Bomar & in past Two yea is Service in Exeter if Area (X) able to access Family. Physician �s Nurse Practitioner Physiotherapist Speech Therapy Mental Health Services Rums Program Dentist Health Prevention/Promotion • Chiropractor A Foot Care Occupational Therapy Counseling Specialist Wellness Program Social Worker • Therapist -Me, Relleocology .Other iv) Should a proposal be Submitted too the Mitisey of Health from Community Stakeholders requesting for the needed services? O Yes 0 •No v) Comments: This Survey is very important to help us determine the needs of the. Area, and will help to establish present needs and anticipate future needs. Thank you for your time. Please return this Survey in person or by Fax to the South Huron Hospital at 24 Huron Street West, Exeter, Fax # 235-3405, The Ranch House Inn at 414 Main Street South, Exeter, Fax # 235-3141, or Exeter Town Hall, Fax # 235-3304 or mail to Exeter & District of Commerce. Thank you. EXETER ...,..T......T1-AMBER OF COMMERCE Hu - McMaster; President. • P.O. BOX 550. VXETER, ONTARIO. NOM 1S6 TkLEPHONE & FAX (519) 235-3141 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 J