ANNUAL REPORT 2012/2013: FORGING AHEAD
FLEMINGDON HEALTH CENTRE • FAIRVIEW COMMUNITY HEALTH
15 Month Calendar
Forging ahead... Here are some significant events from last year:
It is change, continuing change, inevitable change, that is the dominant factor in society today. Isaac Asimov, My Own View, 1978
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hirty-five years later the truth of this statement is even more evident. Perhaps the only differences are the speed at which change occurs and the complexity of these changes. To survive in this fast-paced, fluid environment we must learn new ways of thinking and acting. We need to become adept at strategic thinking. We need to build in opportunities for reflection, allowing us to adapt to better meet the demands of the future. At times it can feel overwhelming but with the incredible commitment and support from our staff, volunteers (including the Board of Directors), members and clients, we can not only survive – we can forge ahead to a better future.
In June 2012 we discontinued providing x-ray services. A combination of the steady drop in the number of people using the service, the high cost of replacing the aging equipment and the retirement of our technician made this seem like the right time to request a reallocation of the funding to more indemand programs. As a result we are expanding our chiropody program. In February 2013 the Board hosted a strategic planning session with a panel of experts from Sunnybrook Health Sciences, Toronto CCAC, TC LHIN and Thorncliffe Neighbourhood Office. It was an excellent start to our planning process which will also include a session to engage our members at the AGM. February 2013 also saw the opening of the Oriole Food Space. Based on a vision to “build a healthy community, together, through food”, Flemingdon Health Centre, North York Harvest Food Bank, Working Women Community Centre and the City of Toronto worked together for almost 4 years to make this space a reality. Its programs include a food bank, community kitchens, gardening, healthy eating workshops and settlement services. In March 2013 we completed an extensive evaluation of our South Asian Diabetes Prevention Program
(SADPP). This innovative project, developed by FHC in 2009, provides diabetes screening and education using culturally-relevant and language-specific resources and activities to South Asians who are 4-6 times more likely to develop diabetes than the general population. We anticipate that the results of the evaluation will prove just how successful the project has been. As a further indication of its value, TC LHIN funding for the project will move from project to ongoing base funding in 2013/14. Looking forward: FHC is scheduled to migrate to a fully Electronic Medical Record (EMR) system in September 2013. This is part of a transition plan for all Community Health Centres in Ontario (more than 70) and will be one of the largest deployments of a common EMR solution in the whole of Canada. It will ensure our alignment with the provincial direction for electronic medical records and facilitate higher quality care through improved access to a comprehensive client record by health care providers. To be successful this transition will require a substantial amount of additional time and effort on the part of our staff and in the short-term will reduce the number of clients we can see. We believe the long-term benefits of an EMR will be worth any initial disruption to our service delivery.
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SEPTEMBER 2013 M T W T F 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
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NOVEMBER 2013 S M T W T F 1 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
OCTOBER 2013
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Thanksgiving 20 21
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Elsewhere in this Annual Report you will find more information about the services we offer, our finances and a list of partners. Finally, we would like to recognize and thank the staff, volunteers, Board of Directors and our donors and funders for their dedication to the cause – without you none of this would be possible.
Raya Mukherjee President, Board of Directors
John Elliott Executive Director
NOVEMBER 2013
Food Security
Growing Healthy Together Community Garden
Our community garden has been visibly strengthened, clients have commented on improved community connection to health services, and improved settlement and social inclusion.
March Break Cooking with Kids!
OCTOBER 2013 S M T W T F 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 23 24 25 27 28 29 30 31
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NOVEMBER 2013
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DECEMBER 2013 M T W T F 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 31
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FOOD SECURITY PROGRAMS Friends of Flemingdon Park Garden Program Food Access Project SHOP at Flemingdon Park
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Good Food Box Program Cooking Good Food Community Kitchen Programs
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Colour It Up! Growing Healthy Together – Garden Project Oriole Food Space Local Farm Trips
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For details, please visit: www.fhc-chc.com 24
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DECEMBER 2013
Peer Health Ambassadors With the culmination (March 31, 2013) of our Trillium Peer Health Ambassadors Project, almost 1,400 community members have participated in peer-led programs. Peer-led programs were facilitated in the following languages: Mandarin, Urdu, English, Spanish, Bengali, Cantonese, Armenian and Farsi.
Residents of 12 Thorncliffe Park Drive attended a 6 week Chronic Disease Self-Management program.
Peer Ambassadors conducted a Spanish Community Kitchen program.
NOVEMBER 2013 S M T W T F 1 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
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JANUARY 2014 S M T W T F 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 28 29 30 31
DECEMBER 2013
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PEER-LED PROGRAMS Chronic Disease Self-Management Community Wellbeing Community Kitchen
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South Asian Diabetes Prevention Prevent Diabetes – One Step at a Time
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Boxing Day
For details, please visit: www.fhc-chc.com
JANUARY 2014
Arts
A few pictures of artwork from our “Joining Our Threads” exhibit
Story Circle
“Joining Our Threads” Art Valley Park Exhibit
A new expressive arts program encompassing visual art and storytelling was held over 6 weeks with arts organization Diasporic Genius for 12 participants.
An exhibition of textile art created by youth, women and families from our community expressing their unique identities through fabric collage.
Together we developed our creative imagination as we shared stories that brought us closer together.
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DECEMBER 2013 M T W T F 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 31
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FEBRUARY 2014 S M T W T F
JANUARY 2014
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For details, please visit: www.fhc-chc.com
FEBRUARY 2014
Primary Care
Doctors, nurses, social workers, dietitians and chiropodists work closely to augment our clients’ health.
SERVICE PROVIDER INTERACTIONS
JANUARY 2014 S M T W T F 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 28 29 30 31
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MARCH 2014 S M T W T F
FEBRUARY 2014
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PRIMARY CARE Primary care team focuses on:
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For details, please visit: www.fhc-chc.com
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Health and safety program for the facilities Occupational health for the staff Flu clinics, STI clinics Prenatal classes, Breastfeeding Clinic and Support Groups Teaching family practice residents and other students Obstetrics – prenatal care, deliveries, post-natal and well-baby care Outreach clinic for seniors Chiropody services Social Work services Nutrition services
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MARCH 2014
Physical & Recreational
WALKING GROUP SUMMER 2012 Certified Nordic Pole instructor helped prevent osteoporosis, reduced impact on hip and knee joints, and increased our walking group’s respiratory capacity by 25%.
YOGA We launched a new fitness program in the winter, involving both a registered and drop-in groups. Seven community members attended the 10-week registered program, which consisted of different health workshops each week, followed by a fitness class.
FEBRUARY 2014 S M T W T F 2 9 16 23
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MARCH 2014 Tuesday Tue
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APRIL 2014 S M T W T F 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 23 24 25 27 28 29 30
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PHYSICAL & RECREATIONAL PROGRAMS Healthy Living Seniors
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Active and Alive Walking Group Knitting Club
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Yoga Tai Chi Dance Fit
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Field Trips
For details, please visit: www.fhc-chc.com
APRIL 2014
Volunteering
Flemingdon Health Centre endeavours to provide meaningful volunteer opportunities for everyone. Adults, youth, and seniors are all welcome and encouraged to be involved in all opportunities at both of our locations: Flemingdon and Fairview sites. In 2012-13, over 350 youth & adult volunteers contributed approximately 3000 volunteer hours at FHC.
My City is a newcomer youth initiative that aims to decrease isolation for young people who are new to Canada. The program teaches youth to use public transit and visit different parts of the city. They also have an opportunity to be involved in community work. This year, 50 youth were involved and each contributed 12 volunteer hours.
MARCH 2014 S M T W T F 2 9 16 23 30
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APRIL 2014
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MAY 2014 S M T W T 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29
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VOLUNTEERING Volunteers help us with:
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Data entry Providing information Advocacy
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Group activities and programs Interpretation Assisting at information fairs and community events
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Evaluation Research Technology support
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For details, please visit: www.fhc-chc.com
MAY 2014
Education & Teaching We ran 5 computer classes per week in our Resource Access Centre, including a beginners Type and Talk, Intermediate Excel, and a Women’s class. That’s an average of 16 students learning each day!
Prenatal program – new collaboration with BBNow, Adventure Place
Flemingdon Health Centre has a long standing tradition as a teaching centre beginning in 1972.
Women’s Computer classes, Microsoft Office training courses
We are affiliated with the University of Toronto through the Department of Family and Community Medicine. We also receive students from the University of Western Ontario, McMaster University, Ryerson University, The Michener Institute and a variety of community colleges. We receive students from Medicine, Social Work, Health Promotion, Nursing, Chiropody, Nutrition, and Health Administration studies.
APRIL 2014 S M T W T F 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 23 24 25 27 28 29 30
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MAY 2014
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JUNE 2014 T W T 3 4 5 10 11 12 17 18 19 24 25 26
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EDUCATION PROGRAMS Computer Classes Community Wellbeing Employment Access
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Forever Young Love Your Heart Pre-natal Classes
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Outreach Events Chronic Disease Self-Management First Aid for Parents and Caregivers
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For details, please visit: www.fhc-chc.com Victoria Day 25
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JUNE 2014
Support
Breastfeeding Support Group: New pilot partnership with Toronto Public Health and Thorncliffe Neighbourhood Office to provide breastfeeding support to new moms and families. Flemingdon Health Centre also hosts a Breastfeeding Clinic at our Fairview site. This clinic is in collaboration with Toronto Public Health to provide breastfeeding education. Both programs are drop-in and open to all pregnant and breastfeeding families. Parenting & Play
Women Supporting Women attracted an average of 23 women per week for each 10 week cycle. Mindfulness Based Stress Reduction: A six week group program teaching a variety of meditation practices to help manage stress and effectively deal with chronic pain, depression or anxiety.
MAY 2014 S M T W T 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29
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JULY 2014 S M T W T 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 31
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SUPPORT PROGRAMS New Babies Soothe Your Skin Resource Access Centre
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Community Wellbeing Women Supporting Women Mindfulness based Stress Reduction
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CARES project: Cancer Screening Prenatal Group Story Circle
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For details, please visit: www.fhc-chc.com 29
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JULY 2014
Group Activities
GROUP ENCOUNTERS
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JUNE 2014 T W T 3 4 5 10 11 12 17 18 19 24 25 26
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AUGUST 2014 S M T W T F 1 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29 31
JULY 2014
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GROUP ACTIVITIES For a full listing of all our group activities at both our locations, please visit
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Canada Day 7 8
www.fhc-chc.com/calendar 9
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or drop by and pick up one of our Quarterly Program Brochures.
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AUGUST 2014
Advocacy The Oriole Foodspace opened in February in partnership with Flemingdon Health Centre, North York Harvest Food Bank, Working Women Community Centre, and the City of Toronto. We have worked for four years to build this space through advocacy and partnership building. The Trillium Foundation has provided the start up funds. Current programs include: Food Bank, Community Kitchens, Youth Community Kitchens, Kids’ Community Kitchens and Settlement Support. Flemingdon Health Centre joined other health care providers and community groups to rally against the changes to Interim Federal Health Insurance. These changes have reduced which health services are available to refugees and refugee claimants.
JULY 2014 S M T W T 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 31
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AUGUST 2014
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SEPTEMBER 2014 S M T W T F 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30
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Fairview clients organized a “thank you” lunch for Toronto Central Local Health Integration Network (TCLHIN, funder) and Fairview staff for the provision of much needed services in the Don Mills area. Representing TCLHIN is Greg Stevens, Senior Consultant, Performance Management.
For details, please visit: www.fhc-chc.com
SEPTEMBER 2014
Youth The Step Up March Break program, geared to youth 13 to 16 years old was held for 24 youth for the 6th year. SERVE Canada and Flemingdon Health Centre partnered to deliver this program. Through teamwork, mental health and diversity education, community projects, and staff mentoring, the youth participants gained valuable experience and greater awareness, practised their interpersonal and cooperation skills, increased their connection to the local community/city and kept engaged during their March Break.
AUGUST 2014 S M T W T F 1 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29 31
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OCTOBER 2014 S M T W T F 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 28 29 30 31
SEPTEMBER 2014
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YOUTH PROGRAMS Our Youth programs and initiatives seek to provide meaningful educational, recreational and employment opportunities for youth living within our catchment area. FHC is a proud member of the Youth Service Network (YSN) (ysnwebelong.ca) Programs include: Tutor Me Please Be Scene Magazine Youth Kitchen
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Step Up March Break Program For details, please visit: www.fhc-chc.com
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OCTOBER 2014
Diabetes Prevention SADPP Referral Composition
762 South Asians screened 141 participants identified as already living with diabetes 267 participants identified as high-risk of developing diabetes 714 participants attended the Prediabetes Education Workshop 671 participants attended the Diabetes Prevention Workshop 94 mobile clinics and workshops conducted across the city of Toronto
SEPTEMBER 2014 S M T W T F 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30
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OCTOBER 2014
Monday Mon
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NOVEMBER 2014 S M T W T F S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
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DIABETES PREVENTION Estimates of diabetes prevalence in Ontario show that 14% of the South Asian population living in Ontario are living with Type 2 Diabetes, compared to 5.2% of the general population. (Lipscombe & Hux, 2007). In response to this, Flemingdon Health Centre has been offering the South Asian Diabetes Prevention Program since 2009, addressing healthy eating, physical activity and stress as it is affected by resettlement to Canada. The two-part Program includes:
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1. Diabetes Early Detection Clinic and Prediabetes Awareness Workshop (Session 1) 2. Diabetes Prevention Workshop (Session 2)
For details, please visit: www.fhc-chc.com
NOVEMBER 2014
Diabetes Education
1,742 clients were seen in 2012-13, 87% of them were new
NEW INITIATIVES!
129 group sessions were conducted where a total of 1,654 participants attended
To address accessibility barriers, our dynamic teams of diabetes nurse educators and dietitians are offering their services in Mobile, Community Clinics and Pharmacy Visits.
83 clients attended our special session on “Safe Fasting During Ramadan�
OCTOBER 2014 S M T W T F 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 28 29 30 31
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DECEMBER 2014 S M T W T F 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 31
NOVEMBER 2014
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SERVICES Individual Assessment
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Group Education Sessions Introduction on Diabetes Education Diabetes Management Pre-diabetes Special Group Sessions Foot Care Insulin Use and Update Review and Support Safe Fasting during Ramadan Healthy Cooking and Eating Physical Activity Nordic Pole Walking Resistance Band Training Offsite Programs Mobile Clinics Community Clinics Pharmacy Visits
For details, please visit: www.fhc-chc.com
DECEMBER 2014
2012–13 Financial Statements SUMMARIZED STATEMENT OF FINANCIAL POSITION (AS AT MARCH 31, 2013)
SUMMARIZED STATEMENT OF REVENUES AND EXPENSES (FOR THE YEAR ENDED MARCH 31, 2013)
ASSETS Current assets Cash and marketable securities Accounts receivable Prepaid expenses
REVENUES Ontario Ministry of Health and TC-LHIN grants Deferred Government grants Interest Other Total Revenues
$7,062,470 249,275 24,598 184,536 $7,520,879
EXPENSES Salaries and benefits Rent General operating Medical and office supplies Amortization of property and equipment Total Expenses
$5,420,914 747,525 892,817 156,021 249,275 $7,466,552
Property, plant and equipment
LIABILITIES AND NET ASSETS Current liabilities Accounts payable and accrued liabilities Due to the Ontario Ministry of Health and Long-Term Care and TC-LHIN Deferred MOHLTC funding Deferred other program funding
Deferred contributions Net Assets (including restricted and unrestricted)
$1,650,653 210,310 228,821 2,089,294 995,818 $3,085,112
$710,106 264,161 59,038 25,597 1,058,902 995,818 1,030,392 $3,085,112
Less: Refundable to the LHIN
(41,914)
Excess of revenues over expenses for the year
$12,413
Audited financial statements by PricewaterhouseCoopers LLP are available at the health centre.
NOVEMBER 2014 S M T W T F S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
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JANUARY 2015 S M T W T F 1 2 4 5 6 7 8 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29 30
DECEMBER 2014
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Boxing Day
Best wishes for 2015 from everyone at FHC!
Community Partners 8-80s Liveable Communities Access Alliance Multicultural Health and Community Services Action for Neighbourhood Change Advent Lutheran Church Adventure Place/Better Beginnings Now Afghan Women Organization Art Starts AWIC Bangla Town Community Centre of Business Bangladeshi – Canadian Community Services Better Living Health and Community Services Canadian Diabetes Association Canadian National Institute for the Blind (CNIB) Catholic Crosscultural Services Centre for Information and Community Services Centre de Francophone Community Health Centre Children’s Aid Society City of Toronto Employment and Social Services City of Toronto Social Development, Finance and Administration Community Care East York Councillor Shelley Carroll’s Office Dennis R. Timbrell Resource Centre Don Mills Employment Resource Centre Don Mills Residents Association Don Valley East Ontario Early Years Centre Don Valley Local Immigration Partnership East Toronto Chinese Baptist Church East York Town Centre Evergreen Fairview Community Information Centre Family Day Family Service Toronto Flemingdon Community Legal Clinic Flemingdon Neighborhood Services Flemingdon Park Library Flemingdon Park Ministry Flemo City Media Food Share Gateway Greenbelt Initiative Gateway Public School
Heart and Stroke Foundation Hinks Dellcrest Centre Hong Fook Mental Health Association Immanuel Baptist Church JVS Toronto Live Green Toronto Marc Garneau Collegiate Institute Moorelands New Circles Noor Cultural Centre North York East and Employment Social Services North York Harvest Food Bank North York Seniors Centre North York Women’s Centre
Toronto East General Hospital Toronto Public Health Toronto Public Health Dental and Oral Health Services Toronto Public Library Tropicana Summer Jobs for Youth University of Toronto Valley Park Middle School Willowdale Community Legal Services Willowdale Ontario Early Years Centre Woodgreen Community Services Woodgreen Resource Centre Working Women Community Centre
Funding support provided by
O’Connor Community Centre Ontario Science Centre Oriole Community Center, City of Toronto’s Parks, Forestry and Recreation Planned Parenthood Toronto Regent Park Focus Youth Media Arts Centre Rent Bank Ryerson University St. Mathew the Apostle Oriole Anglican Church Toronto St. Michael’s Hospital – CARES project SERVE Canada South Asian Family Support Services (SAFSS) South East Toronto Family Health Team (SETFHT) South Riverdale Community Health Centre Sunnybrook Health Sciences Centre The Michener Institute for Applied Health Sciences The Needlework Guild of Canada The Overlea Senior Building Thorncliffe Neighbourhood Office Thorncliffe Ontario Early Years Centre Tobacco Control Area Network- Toronto Toronto Community Housing Corporation Toronto District School Board
Flemingdon Health Centre 10 Gateway Boulevard Toronto, Ontario, M3C 3A1 T (416) 429-4991 • F (416) 422-3573 E fhcinfo@fhc-chc.com Fairview Community Health 5 Fairview Mall Drive, Suite 359 Toronto, Ontario, M2J 2Z1 T (416) 640-5298 www.fhc-chc.com