Secure Online First Link Referral Form
Durham Region
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First Link® is a program that gives persons living with dementia, their care partners and family a direct connection to a wide variety of services and supports offered through the Alzheimer Society of Durham Region and within the community.
![Online referral form banner](/durham/sites/durham/files/styles/hero/public/2020-10/SM%20Online%20FL%20referral%20form.png?itok=Se1Tid42)
Complete our online form here.
Cliquez ici pour la version en français
Alternatively, you can print out and fax the referral form to intake at: 905-576-2033