Alzheimer Society of Toronto
Alzheimer Society Music Project Online Application
This form applies to the Music Project- TORONTO residents . This form is NOT intended for health-provider referrals. Please visit our Health-Care Provider Portal for further information.
Does the applicant or iPod recipient reside in Toronto? (M postal code)
Toronto residency is required to qualify for participation in this program.
What is your relation to iPod Recipient?
I am the iPod recipient
PSW / Health-care provider
Do Not Fill This Out