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Application Form

Important information. Please read this section first.

SABIS helps adults with acquired brain injuries live as independently as possible in their communities. We do this by helping individuals and families find and apply for the supports and services offered by other agencies and federal, provincial and municipal government programs.

Filling in this application is the first step in applying for help from SABIS. You may complete this application with or without assistance. If you qualify for services, the assistance you receive from SABIS will vary depending on your needs and the community resources available to you. 

Eligibility Criteria

We may be able to help you if you meet the following eligibility criteria.

  • You are 18 years of age or older.
  • You live within the Calgary Region.
  • You do not receive services funded by Persons with Developmental Disabilities (PDD)
  • You are a Canadian Citizen OR you have Permanent Resident Status
  • You are able to travel to SABIS for an intake interview
  • You can provide medical documentation supporting an acquired brain injury

Personal Information

Self, Professional, Family/Friend

Supports and Resources

Which of the following supports and services do you need help finding or applying for? Please put a check mark in any boxes that apply.

Acquired Brain Injury Information

Please tell us the year and cause of your brain injury

Medical Information

Do you have any of the following conditions that we should be aware of while you are attending SABIS programs or receiving SABIS services?
Please be aware that SABIS does not provide medical services and clients are responsible for their own care and medical needs.

SABIS requires a medical record of an acquired brain injury.
Submit at end of form.

Client History

Emergency Contact

If you have a Guardian or Legal Representative please give their name and telephone number:

Upload Medical Documentation. You can also fax or mail your medical documentation.

Our office is located at:
140, 301 14 Street NW
Calgary, AB T2N 2A1
Telephone Number: 403-521-5212 Fax: 403-283-5867 Email: [email protected]
Our office hours are 8:30 AM to 4:00 PM Monday to Thursday and Friday by appointment only.