COMMUNITY SUPPORT INTAKE FORM

Please use this form to submit a referral to Pender Islands Health Centre’s Better at Home and Social Prescribing programs on Pender Island. If you have any questions about this form or the referral process, please contact 250 629-3346 or betterathome@penderislandhealth.org.

COMMUNITY SUPPORT SERVICES

Assessment/triaging

Co-creation of wellness plan

Deep Cleaning

Counselling/peer support

Digital literacy / tech support

Exercise classes

Group Activities

Follow-up/check in

Friendly Visiting

Grocery shopping/services

Health System Navigation

Light Housekeeping

Light yard work

Minor home repairs

Prepared meal delivery

Prescription pick-up/drop-off

Resources and Referrals for social meals, activities, health care services, legal, financial, and housing

Snow removal

Transportation medical

Transportation non-medical