HammondCare Connect App

Consent*

Yes, I would like to participate in using the 'Connect' app. and I give consent for the resident I represent to be included in photos shared in the app. with other residents and/or resident representatives.

No, I do not want to participate

Please select an option

If no, why?

Please add comments

Resident Name*

Please add a resident name

Primary Contact Name (Your Name)*

Please provide a name

Primary Contact Email (Your Email)*

Please add a valid email address

Mobile Number*

Please add a phone number

reCaptcha*

Please prove that you are not a ROBOT.