Test 1

Are you aware of a new federal benefit for persons with disability?^*

Would you like more information on the benefit?^*

The CDB requires a valid Disability Tax Credit Certificate. Do you charge to fill out the Disability Tax Credit Certificate form?^*

If so, how much? ^*

Do you reduce the fee for low-income patients? ^*

If so, by how much or what scale do you use?^*

How many of your patients request Disability Tax Credit Certificate form to be filled in monthly? ^*

If the Disability Tax Credit Certificate form was never submitted, are you aware of the reason why?^*

Do you think some of your patients need assistance in applying for the Canada Disability Benefit? ^*

If so, do you have any suggestions to help those patients access and/or complete the application? ^*

Would you like more information on community programs, sign up posters, application clinics that are helping people sign up? ^*

Would you like to participate in discussions on topics like fee assistance, and other Canada Disability Benefit advocacy issues? ^*

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