Joysanne Sidimus Fund

Thank you for your interest in applying to the Joysanne Sidimus Fund. This fund covers up to $760 of your eligible costs and up to 75% of your health expenses per year at the Artists' Health Centre.

You can visit this website for more details about the fund.

To further determine your eligibility, please complete this online form.

The estimated time to complete this form is 15 minutes, but you must complete the entire form in one sitting.
If you'd like to complete this form at another time, please save the link below and revisit this form whenever you're ready!
https://www.surveymonkey.com/r/JSFapp

Anonymity and Confidentiality:
Your information will be saved in the Artists' Health Centre, University Health Network database. To protect your privacy and confidentiality, all information you enter will not be directly linked to you. Instead, upon the completion of this form, you will be directed to a website that generates 5-digit unique ID. You will be asked to share this link to our Administrative Coordinator. This is your unique code that identifies you. 

Upon receipt of your unique ID, you will hear back from us within 7 business days to confirm your application and instructions on next steps.

Implied Consent:
By completing this form, it means you understand the information above, and that you consent to providing information to the Artists' Health Centre to assess your eligibility for the fund.

If you're ready, please begin! :)

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* 1. Have you already had an appointment with the Nurse Coordinator at the Artists' Health Centre?

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* 2. Please tell us about your status in Canada

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