MSFocus: - Multiple Sclerosis Society of Canada
MSFocus: - Multiple Sclerosis Society of Canada
MSFocus: - Multiple Sclerosis Society of Canada
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<strong>MSFocus</strong>:<br />
Creating Synergy<br />
in Healthcare<br />
an education event for health pr<strong>of</strong>essionals<br />
October 17 and 18, 2003<br />
Delta Edmonton Centre Suite Hotel<br />
10222 - 102 Street | Edmonton, Alberta
The importance <strong>of</strong> educating allied health pr<strong>of</strong>essionals is<br />
as critical as that <strong>of</strong> educating clients. Early referral leads<br />
to better chances <strong>of</strong> prompt diagnosis. As well, up-to-date<br />
and leading edge symptom management techniques help<br />
those living with multiple sclerosis to realize enhanced<br />
quality <strong>of</strong> life.<br />
The management <strong>of</strong> MS involves a multi-disciplinary team<br />
<strong>of</strong> community health care pr<strong>of</strong>essionals. The delivery<br />
model <strong>of</strong> education chosen for this event entails plenary<br />
presentations addressing general MS education, as well as,<br />
specialty concurrent sessions addressing the diverse<br />
needs <strong>of</strong> medically related disciplines.<br />
Symposium Objectives<br />
Participants will be able to:<br />
• Describe the disease process <strong>of</strong> MS and symptom<br />
management.<br />
• Describe recent advances in MS care research and<br />
treatment.<br />
• Discuss psychosocial implications for persons living<br />
with MS.<br />
• Identify and describe the specialized needs <strong>of</strong> people<br />
with MS.<br />
• Offer relevant information and resources related to<br />
mental health, rehabilitation, nursing, pharmacy, and<br />
general practice.<br />
• Assist people with MS to maintain independence and<br />
receive support from MS <strong>Society</strong> and community<br />
services.<br />
This event will provide an opportunity for networking, as<br />
well as, enhancing skills to effectively meet the needs <strong>of</strong><br />
MS clients and families. There is an exciting line-up <strong>of</strong><br />
experts who will <strong>of</strong>fer current and practical information on<br />
multiple sclerosis and related issues. This conference is<br />
being assessed by Alberta College <strong>of</strong> Pharmacists for<br />
CEU's.<br />
event summary<br />
3
4<br />
event schedule<br />
Friday, October 17, 2003<br />
6:30 pm - 7:00 pm<br />
Registration<br />
7:00 pm - 9:30 pm<br />
Plenary Presentations<br />
• The Multifaceted Nature <strong>of</strong> MS Care: Now and in the Future<br />
• Understanding the Psycho-social Challenges <strong>of</strong> MS<br />
9:30 pm - 10:30 pm<br />
Reception<br />
Saturday, October 18, 2003<br />
7:30 am - 8:30 am<br />
Registration<br />
(for those who did not register the previous evening)<br />
8:30 am - 9:30 am<br />
Breakfast<br />
• Plenary presentation — Coping with MS: A Personal Perspective<br />
Morning Concurrent Sessions (choose one in each block <strong>of</strong> time)<br />
9:40 am - 10:40 am<br />
Concurrent Sessions 1<br />
• Aggressively Treating MS<br />
• Challenges and Opportunities for the Homecare Worker<br />
• Striving for Quality Care in MS Nursing<br />
• Rehabilitation Management in the MS Patient<br />
10:40 am 10:50<br />
C<strong>of</strong>fee Break<br />
10:50 am - 11:50 am<br />
Concurrent Sessions 2<br />
• The Effects <strong>of</strong> MS on Interpersonal and Family Relationships<br />
• MS <strong>Society</strong>: Can We Make a Difference?<br />
• Sexuality and MS<br />
• Pharmacological Management <strong>of</strong> MS Symptoms<br />
Luncheon<br />
12:00 noon - 1:30 pm<br />
• Balancing Workloads Positively
Saturday, October 18, 2003<br />
Afternoon Concurrent Sessions (choose one in each block <strong>of</strong> time)<br />
1:40 pm - 2:40 pm<br />
Concurrent Sessions 3<br />
• Aggressively Treating MS<br />
• Challenges and Opportunities for the Homecare Worker<br />
• Sexuality and MS<br />
• Pharmacological Management <strong>of</strong> MS Symptoms<br />
2:40 pm - 2:50 pm<br />
C<strong>of</strong>fee Break<br />
2:50 pm - 3:50 pm<br />
Concurrent Sessions 4<br />
• The Effects <strong>of</strong> MS on Interpersonal and Family Relationships<br />
• MS <strong>Society</strong>: Can We Make A Difference?<br />
• Striving for Quality Care in MS Nursing<br />
• Rehabilitation Management in the MS Patient<br />
4:00 pm - 4:30 pm<br />
Closing<br />
event schedule<br />
5
6<br />
speakers<br />
Dr. Mary Lou Myles, M.D., FRCPC<br />
Neurologist, Neuroservices Centre, Edmonton AB<br />
Dr. Mary Lou Myles is an Assistant Clinical Pr<strong>of</strong>essor <strong>of</strong> Neurology at the<br />
University <strong>of</strong> Alberta and a clinical neurologist with a special interest in<br />
multiple sclerosis. She is actively involved in teaching <strong>of</strong> medical students<br />
and residents, as well as in the provision <strong>of</strong> continuing medical education for<br />
practitioners. She is also a member <strong>of</strong> the Alberta MS Drug Review Panel.<br />
Dr. Jennifer Rodgers, Ph.D., C.Psych.<br />
Clinical Psychologist, U <strong>of</strong> A, Edmonton AB<br />
Dr. Rodgers is a clinical psychologist at the University <strong>of</strong> Alberta Hospital in<br />
Edmonton and Associate Clinical Pr<strong>of</strong>essor at the University <strong>of</strong> Alberta. She<br />
has been working with individuals who have multiple sclerosis since 1985<br />
both as a psychologist for the Department <strong>of</strong> Neurosciences and as a Board<br />
Member at all levels <strong>of</strong> the MS <strong>Society</strong>. Her research interests and public<br />
presentations, over the years, have focused on adjustment to the changes<br />
imposed by MS on the individual with the diagnosis, as well as family<br />
members. Dr. Rodgers is currently a committee member on the Alberta MS<br />
Drug Review Panel and a Health Research Ethics board member for Capital<br />
Health, Caritas and the University <strong>of</strong> Alberta.<br />
Dr. David Spence, B.Sc., M.D., FRCPC<br />
Psychiatrist, Edmonton, AB<br />
Dr. Spence was born in Montreal and grew-up in Nova Scotia. He was<br />
diagnosed with MS in 1984. Despite the diagnosis he pursued pr<strong>of</strong>essional<br />
training by obtaining both his Bachelor <strong>of</strong> Science and Medical degrees at<br />
Dalhousie University. He then furthered his medical training, graduating<br />
from the U <strong>of</strong> A in psychiatry. Dr Spence formerly worked at Alberta Hospital<br />
with a focus on General Adult Psychiatry. He is currently semi-retired and<br />
lives with his wife and seventeen month old child.<br />
Brenda Robinson, B.A., MED<br />
Brenda is a highly entertaining motivational speaker able to combine<br />
practical living strategies with work related pressures. With twenty years <strong>of</strong><br />
experience in various fields <strong>of</strong> service, she seeks to focus on having a positive<br />
perspective and attitude. Brenda will tickle your funny bone as well as touch<br />
your heart.<br />
Dr. Ken Makus, M.D., FRCPC<br />
Neurologist, Neuroservices Centre, Edmonton, AB<br />
Dr. Makus graduated from the University <strong>of</strong> Alberta Medical School in 1994<br />
and obtained his neurology certification in 1999. Dr. Makus comes with an<br />
impressive background filled with awards, scholarships, research projects,<br />
and pr<strong>of</strong>essional memberships and activities. Throughout his residency, he<br />
has had a special interest in multiple sclerosis. Dr. Makus currently works in a<br />
general neurology practice in Edmonton with a special focus towards<br />
multiple sclerosis and epilepsy.
Dr. Jim Eliuk, Ph.D, ED. Pysch<br />
Educational Psychologist<br />
Dr. Jim Eliuk currently works in a private practice in Edmonton with a primary<br />
focus on clients struggling with chronic health problems. While completing<br />
his Ph.D in Educational psychology in the early 90's, he began working at the<br />
Glenrose Rehabilitation Hospital where he gained valuable experience<br />
working with a variety <strong>of</strong> chronic medical conditions including <strong>Multiple</strong><br />
<strong>Sclerosis</strong><br />
Cathy Biggs, B.Sc.Pharm.<br />
Pharmacist, Broadmoor Pharmacy and Or<strong>of</strong>acial Pain and Medical Clinic<br />
Catherine graduated from the University <strong>of</strong> Alberta in 1996. You could say<br />
that her career choice was genetic considering both her parents have<br />
worked in the area <strong>of</strong> pharmacology and patient-based care. Since then she<br />
has become interested in many areas, including cardiovascular health and<br />
chronic non-malignant pain. She is also a Past President <strong>of</strong> the Alberta<br />
College <strong>of</strong> Pharmacists and currently is a member <strong>of</strong> the Pr<strong>of</strong>essional Affairs<br />
Committee <strong>of</strong> the Canadian Pharmacists Association.<br />
Linda McClure, R.N., B.Sc.N, M.Sc.<br />
Sexual Health Consultant, Annexa Health Consultants, Nursing Faculty<br />
Grant Macewan College<br />
Linda has been working as a consultant in the area <strong>of</strong> sexuality since 1994.<br />
She provides sexuality education and counselling to individuals, couples and<br />
agencies where the primary concern is that <strong>of</strong> a sexual nature. As part <strong>of</strong> her<br />
provate practice, she has contracts with the Glenrose Rehabilitation Hospital<br />
Sexual Health Service where she provides sexuality education and<br />
counselling to clients <strong>of</strong> the Glenrose. Linda also teaches Nursing and<br />
Human Sexuality at Grant Mcewan College.<br />
Joanne Hodder, R.N., B.Sc.N, <strong>Multiple</strong> <strong>Sclerosis</strong> Certified Nurse<br />
Special Therapies Nurse,<br />
Northern Alberta MS Special Therapies Program<br />
Joanne graduated from Western Memorial Hospital in Corner Brook,<br />
Newfoundland with an honours diploma in Nursing in 1983. She is currently<br />
enrolled in the Masters <strong>of</strong> Nursing Program at the University <strong>of</strong> Alberta. She<br />
has completed all course work and is presently completing a final project<br />
exploring services delivered to meet the needs <strong>of</strong> persons with MS in the<br />
Capital Region <strong>of</strong> Alberta. In the past she has worked as a research and<br />
clinical coordinator with a pr<strong>of</strong>essor <strong>of</strong> medicine and a specialist in<br />
Parkinson's Disease at the University <strong>of</strong> Alberta from 1991 to 1997. Joanne<br />
has published three articles in the area <strong>of</strong> Parkinson's and Shy Drager<br />
Syndrome between 1991 and 1997. Currently, she is the MS Special<br />
Therapies Nurse for Northern Alberta.<br />
speakers<br />
7
8 Jeannine Christopherson, R.N., B.Sc.N, MSCN<br />
Nurse, Northern Alberta <strong>Multiple</strong> <strong>Sclerosis</strong> Patient Care<br />
and Research Clinic<br />
Jeannine provides education and supportive counselling to people with MS<br />
and their family and friends. She assists in the clinical management <strong>of</strong><br />
problems related to MS. Jeannine is a founding member <strong>of</strong> the IOMSN<br />
(International Organization <strong>of</strong> MS Nurses) as well as a member <strong>of</strong> the<br />
speakers<br />
Edmonton Chapter Client Services Committee. She is also an active member<br />
<strong>of</strong> the Canadian MS Nurses Network and has been working in the MS field for<br />
many years.<br />
Dr. Carmen Tuchak, M.D., FRCPC<br />
Dr. Carmen Tuchak, specialist in Physical Medicine and Rehabilitation, works<br />
at the Glenrose Rehabilitation Hospital where she sees persons with MS for a<br />
variety <strong>of</strong> rehabilitation issues including spasticity and problems with<br />
mobility.
Friday , October 17, 2003<br />
7:00 pm - 9:30 pm<br />
The Multifaceted Nature <strong>of</strong> MS Care: Now and in the Future<br />
Dr. Mary Lou Myles, M.D., FRCPC<br />
This presentation will provide an overall review <strong>of</strong> MS, diagnosis, etiology,<br />
incidence and risk factors, symptom management, and therapies.<br />
Participants will gain an understanding <strong>of</strong> multi-faceted research in the field<br />
<strong>of</strong> MS today.<br />
Understanding the Psycho-social Challenges <strong>of</strong> MS<br />
Dr. Jennifer Rodgers, Ph.D., C.psych<br />
This presentation will focus on psychosocial implications <strong>of</strong> MS, incidence <strong>of</strong><br />
depression and cognitive impairment. Participants will gain an<br />
understanding <strong>of</strong> the intensity and diversity <strong>of</strong> challenges that people with<br />
MS encounter everyday.<br />
Saturday, October 18, 2003<br />
8:30 am - 9:30 am<br />
Coping With MS: A Personal Perspective<br />
Dr. David Spence, B.Sc., M.D., FRCPC<br />
This presentation will provide a personal and pr<strong>of</strong>essional perspective <strong>of</strong><br />
living with MS. Participants will gain understanding <strong>of</strong> the everyday<br />
scenarios <strong>of</strong> coping with an unpredictable and uncertain chronic illness.<br />
12 noon - 1:30 pm<br />
Balancing Workloads Positively<br />
Brenda Robinson, B.A., MED<br />
This presentation will provide participants with a new perspective on<br />
balancing workloads in positive ways. Participants are invited to listen, laugh,<br />
and learn new ways to set priorities, lighten up and enjoy what they do.<br />
plenary presentations<br />
9
10<br />
concurrent sessions<br />
Saturday, October 18, 2003<br />
9:40 am - 3:50 pm<br />
Aggressively Treating MS<br />
Dr. Ken Makus, M.D., FRCPC<br />
This session will provide information about diagnostic procedure and the<br />
need for early intervention. Participants will learn about new diagnostic<br />
criteria, MS symptomatic therapies, disease modifying therapies, and the role<br />
<strong>of</strong> the GP to ensure adherence.<br />
Available in concurrent sessions 1 and 3.<br />
Pharmacological Management <strong>of</strong> MS Symptoms<br />
Cathy Biggs, B.Sc.Pharm.<br />
This session will present an overview <strong>of</strong> pharmacological treatment <strong>of</strong><br />
neuropathic pain and spasticity, bladder dysfunction and fatigue.<br />
Participants will be exposed to evidence-based information covering<br />
allopathic and alternative therapies.<br />
Available in concurrent sessions 2 and 3.<br />
Rehabilitation Management in the MS Patient<br />
Dr. Carmen Tuchak, M.D., FRCPC<br />
This session will provide an overview <strong>of</strong> the importance <strong>of</strong> rehabilitation<br />
therapies in the management <strong>of</strong> MS. Participants will learn about practical<br />
aids for daily living as well as programs that maximize the physical health <strong>of</strong><br />
the client.<br />
Available in concurrent sessions 1 and 4.<br />
MS <strong>Society</strong>: Can We Make a Difference?<br />
Adeline Blumer, R.N. and Aileen Steele, B.A.<br />
This session will provide health pr<strong>of</strong>essionals with an overview <strong>of</strong> MS <strong>Society</strong><br />
services and programs. The participants will understand the role <strong>of</strong> the MS<br />
<strong>Society</strong> in educating health pr<strong>of</strong>essionals about MS and providing clients<br />
with referral, information and support.<br />
Available in concurrent sessions 2 and 4.<br />
Challenges and Opportunities for the Homecare Worker<br />
Barb Foxall, B.A.<br />
This session will provide healthcare workers in the homecare field with the<br />
opportunity to learn and share practical information. The participants will be<br />
able to assist their MS clients in day-to-day living strategies.<br />
Available in concurrent sessions 1 and 3.
Striving for Quality Care in MS Nursing<br />
Jeannine Christopherson, R.N., B.Sc.N., MSCN<br />
Joanne Hodder, R.N., B.Sc.N., <strong>Multiple</strong> <strong>Sclerosis</strong> Certified Nurse<br />
This session will provide primary and secondary care providers with<br />
information on symptom management and MS special therapies including<br />
management <strong>of</strong> side-effects <strong>of</strong> the disease modifying drugs. The participants<br />
will come to understand their role in networking to meet clients' physical,<br />
emotional and spiritual needs.<br />
Available in concurrent sessions 3 and 4.<br />
Sexuality and MS<br />
Linda McClure, R.N., B.Sc.N., M.Sc.<br />
This session presents an overview <strong>of</strong> how persons with MS notice changes in<br />
their sexual functioning which impacts their personal relationships and<br />
overall well-being. Participants will better understand how MS affects sexual<br />
functioning, sexual relationships, as well as better understand how to<br />
manage sexual changes.<br />
Available in concurrent sessions 2 and 3.<br />
The Effects <strong>of</strong> MS on Interpersonal and Family Relationships<br />
Dr. Jim Eliuk, Ph.D Ed.Psych.<br />
This session will provide information on both the subtle and obvious effects<br />
<strong>of</strong> the illness on a person's integrity, sense <strong>of</strong> well-being, and interpersonal<br />
and family relationships. The participant will gain an understanding on how<br />
helping the client and family to recognize the “choice points” facing them in<br />
their lives will enable them to make decisions that maximize continued<br />
control <strong>of</strong> their lives.<br />
Available in concurrent sessions 2 and 4.<br />
concurrent sessions<br />
11
12<br />
event registration information<br />
You can register by fax: 780.463.7298<br />
or phone: 780.463.1190<br />
or mail to: <strong>Multiple</strong> <strong>Sclerosis</strong> <strong>Society</strong> - Alberta Division<br />
10104-79 Street, Edmonton, AB T6A 3G3<br />
Registration<br />
Early Bird registration before September 15 - $75.00<br />
Registration after September 15 - $100.00<br />
Student registration fee $50.<br />
(Please note that there is a limited number <strong>of</strong> spaces available for students)<br />
Confirmation <strong>of</strong> registration will be sent when registration form has been<br />
received and payment has been made in full. If registration is received after<br />
September 30, you will receive confirmation in your registration package at<br />
the event.<br />
Registration fee includes, breakfast, luncheon, c<strong>of</strong>fee breaks, sessions and<br />
event materials.<br />
Cancellation Policy<br />
There will be a full refund (less $25 administration fee) until October 6, 2003;<br />
there will be no refund after that date. This policy is void if cancellation is due<br />
to illness or other extraordinary circumstances.<br />
Dress<br />
All sessions and presentations are business/casual.<br />
Accommodation<br />
Delta Edmonton Centre Suite Hotel<br />
10222 - 102 Street, Edmonton, Alberta<br />
1.800.661.6655<br />
www.deltahotels.com<br />
Please make reservations directly by calling the hotel. Rooms have been<br />
reserved under <strong>Multiple</strong> <strong>Sclerosis</strong> <strong>Society</strong> <strong>of</strong> <strong>Canada</strong> at a discounted rate <strong>of</strong><br />
$109 to $129. The hotel is located in the heart <strong>of</strong> downtown Edmonton in the<br />
newly renovated Edmonton City Centre Shopping Complex, which has over<br />
100 stores and nine movie theatres. All rooms include jetted bathtubs, highspeed<br />
internet access, in room movies, and in room c<strong>of</strong>fee makers.<br />
Registered guest receive free covered parking.<br />
Information<br />
If you require further information about this education event please contact:<br />
Aileen Steele | 780.463.1190 | aileen.steele@mssociety.ca<br />
Barb Foxall | 780.471.3034 | barb.foxall@mssociety.ca
Contact Information<br />
Mr. Mrs. Ms. Miss. Dr.<br />
First Name__________________ Last Name_______________________<br />
Pr<strong>of</strong>essional status___________________________________________<br />
Organization________________________________________________<br />
Mailing Address______________________________________________<br />
City________________________ Province_____ Postal Code_________<br />
Phone____________ Fax____________ E-mail_____________________<br />
How would you like your name to appear on name tag?<br />
___________________________________________________________<br />
Date <strong>of</strong> Registration________________ Today's date________________<br />
Before September 15 - $75<br />
After September 15 - $100<br />
Students - $50<br />
Amount Submitted $___________<br />
Special Meal Requests<br />
Please state any allergies, restrictions, etc._________________________<br />
Do you require a parking pass? yes no<br />
(will be put into your registration package)<br />
Participant Pr<strong>of</strong>ile<br />
Place <strong>of</strong> Employment: Hospital Rehabilitation Home Care<br />
Long-Term-Care Private Practice Clinic Other___________<br />
Percentage <strong>of</strong> practice spent in the care <strong>of</strong> persons or families with MS<br />
0-25 26-50 51-75 76-100<br />
Describe briefly the challenges you experience in your practice when<br />
caring for persons with MS_____________________________________<br />
___________________________________________________________<br />
___________________________________________________________<br />
Questions you would like answered at this event<br />
___________________________________________________________<br />
___________________________________________________________<br />
___________________________________________________________<br />
___________________________________________________________<br />
13<br />
registration form
14<br />
registration form<br />
Sessions Selection<br />
Saturday, October 18, 2003<br />
(please choose one session in each time block)<br />
Morning Sessions:<br />
Concurrent Sessions 1<br />
9:40 am - 10:40 am<br />
Aggressively Treating MS<br />
Challenges and Opportunities for the Homecare Worker<br />
Striving for Quality Care in MS Nursing<br />
Rehabilitation Management in the MS Patient<br />
Concurrent Sessions 2<br />
10:50 am - 11:50 am<br />
The Effects <strong>of</strong> MS on Interpersonal and Family Relationships<br />
MS <strong>Society</strong>: Can We Make a Difference?<br />
Sexuality and MS<br />
Pharmacological Management <strong>of</strong> MS Symptoms<br />
Afternoon Sessions:<br />
Concurrent Sessions 3<br />
1:40 pm - 2:40 pm<br />
Aggressively Treating MS<br />
Challenges and Opportunities for the Homecare Worker<br />
Sexuality and MS<br />
Pharmacological Management <strong>of</strong> MS Symptoms<br />
Concurrent Sessions 4<br />
2:50 pm - 3:50 pm<br />
The Effects <strong>of</strong> MS on Interpersonal and Family Relationships<br />
MS <strong>Society</strong>: Can We Make a Difference<br />
Striving for Quality Care in MS Nursing<br />
Rehabilitation Management in the MS Patient<br />
Payment<br />
If paying by cheque, please make payment to MS <strong>Society</strong> <strong>of</strong> <strong>Canada</strong>,<br />
Alberta Division.<br />
Cheque Attached<br />
Visa Mastercard<br />
Card #_____________________________ Expiry Date_______________<br />
Print name as it appears on card_________________________________<br />
Signature___________________________________________________<br />
Yes, I have read and understand the Cancellation Policy.
Joanne Hodder, R.N., B.Sc.N, <strong>Multiple</strong> <strong>Sclerosis</strong> Certified Nurse<br />
Special Therapies Nurse, Northern Alberta MS Special Therapies Program<br />
Dr. Ken Makus, M.D., FRCP<br />
Neurologist, Neuroservices Centre, Edmonton, AB<br />
Rose Dehod<br />
Director, Member Services and Programs, Pharmacists Association <strong>of</strong> Alberta<br />
Adeline Blumer<br />
Client Services Director, MS <strong>Society</strong> <strong>of</strong> <strong>Canada</strong>, AB Division<br />
Aileen Steele<br />
Client Services Support Coordinator, MS <strong>Society</strong> <strong>of</strong> <strong>Canada</strong>, AB Division<br />
Barb Foxall<br />
Client Services Manager, MS <strong>Society</strong> <strong>of</strong> <strong>Canada</strong>, Edmonton Chapter<br />
Rosalie Freund-Heritage, MSc.OT, OT(C)<br />
Pr<strong>of</strong>essional Practice Leader, Community Care and Public Health, Capital<br />
Health<br />
Jane Yi, BSc OT, MSc<br />
Pr<strong>of</strong>essional Practice Leader OT, Capital Health, Community Care Services,<br />
Home Care<br />
15<br />
event planning committee
The <strong>Multiple</strong> <strong>Sclerosis</strong> <strong>Society</strong> <strong>of</strong> <strong>Canada</strong> - Alberta Division gratefully acknowledges the support <strong>of</strong><br />
Berlex <strong>Canada</strong> Inc. | Biogen <strong>Canada</strong> | Pfizer | Serono | Teva Neurosciences<br />
<strong>Multiple</strong> <strong>Sclerosis</strong> <strong>Society</strong> <strong>of</strong> <strong>Canada</strong> - Alberta Division<br />
10104-79 Street, Edmonton AB T6A 3G3<br />
Phone 780.463.1190 | Fax 780.463.7298 | Toll-free 1.800.268.7582