CBS Closure Form

Please complete the CBS Closure Form. The completed form is sent directly to Kim Miles, 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.

won't you join us?

Each of us has a role to play in creating the community we want to live, work and play in. Join our email list to keep up to date on NSDRC news. Let's build a better community together!

North Shore Disability Resource Centre

3158 Mountain Highway

North Vancouver, BC

V7K 2H5

phone: 604-985-5371

fax: 604-985-7594


connect with us

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 community housing, infant development programs, youth groups, community-based services, and information and advocacy.

We are grateful for the opportunity to work, live and play on the unceded territory of the Coast Salish Peoples, including the territories of Musqueam, Squamish, and Tsleil-Waututh Nations.