Diabetes Food Guide Form

Diabetes Food Guide Order Form

Name *

Organization *

Telephone Number *

Email address *

Shipping Address: (City, Prov, Postal Code) *

Billing Address: (City, Prov, Postal Code)

Same as Shipping Address

The Diabetes Food Guide is available in the following languages: Arabic, Chinese, English, French, Italian, Portuguese, Somali, Spanish, and Vietnamese. It has been adapted to be culturally appropriate: Arabic (Arabic and English), Chinese (languages), African-Caribbean (English and French), South Asian (English), Aboriginal Medicine Wheel. The guide is also available in Braille.

Indicate Language/Culture Plus Quantity Required (Minimum 25 - Comes in Packages of 25) *

Additional Comment

Phone Number: (613) 233-6655

Fax Number: 613-233-6713

Email: [email protected]

We are a proud program of Centretown Community Health Centre

Office Location:

Centretown Community Health Centre
420 Cooper St.
Ottawa, Ontario
K2P 2N6