Welcome to the PQWCHC Website Update and Support Request. Please fill out the form below to submit your request.
First Name and Last Name *
Email *
Date of Request *
Department/Team * —Please choose an option—Nail Salon Worker ProjectClinical/Diabetes TeamClinical TeamClinicalManagement — BoardAdministrationClient ServicesHuman ResourcesClient Services, PQWCHCDiabetes TeamAdminAdmin/ManagementProgramHealth CareCommunity Services & ProgramsHarm ReductionCounselling & Case ManagementDental ServicesNiiwin Wendaanimak (Four Winds)Health PromotionAdmin SupportManagement — Board GovernanceManagement
Nature of Request * —Please choose an option—News Section UpdateDevelopment of New PageTechnical IssueOther
Priority * —Please choose an option—High — Completion within 48 hoursMedium — Completion within one weekLow — Completion within several weeks
Description of Request (please provide as much detail as possible regarding your request) *
Website URL (if relevant to your request)
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