CBS Closure Form

Please complete the CBS Closure Form. The completed form is sent directly to Kathleen Jessop, Director Community Based Services.

808.0A CBS closure form
If known.
Reason for Leaving: *
Select all that apply.
Were the goals for the service met? *
I would like to be contacted for a closure meeting to discuss future options for my son or daughter upon leaving the Community Based Services Program of the North Shore Disability Resource Centre. *
I would like to be contacted for follow-up 6 weeks after ending service. *
The preferred way to contact me is:
I am a:

Thank you for your feedback.

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North Shore Disability Resource Centre

3158 Mountain Highway

North Vancouver, BC

V7K 2H5

phone: 604-985-5371

fax: 604-985-7594


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United Way member agency

The NSDRC was started by a group of families in 1976. In the years since, we have worked for a "Community for All" by developing and providing residential services, infant development programs, youth groups, community based services, and information and advocacy.