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Intake Form

Please read instructions below

Please click on the link below to fill out a preliminary Intake application. This form asks minimal information to determine if the potential client is compatible with our SIL program. If after our review we believe that the client will succeed, you will be sent a follow up email to complete the Admission Form. 

You may also call our head office at 780-758-8950 to inquire about availability.

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Office Hours

Monday to Friday

9:00am-4:00pm

After Hours

Contact (780) 292-5482

Saturday, Sunday and Holidays

Contact (780) 292-5482

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Contact Information

Head Office: 780 758-8950

Fax: 780 665-7315

General email: info@moriahhomes.ca

Mailing Address:

PO Box 825

Enoch, AB T7X 3Y3

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