{"id":12708,"date":"2020-05-12T10:34:23","date_gmt":"2020-05-12T10:34:23","guid":{"rendered":"https:\/\/therapcanada.ca\/products\/?page_id=12708"},"modified":"2026-10-15T05:07:46","modified_gmt":"2026-10-15T05:07:46","slug":"configurable-documentation-goal-outcomes-tracking","status":"publish","type":"page","link":"https:\/\/www.therapcanada.ca\/products\/configurable-documentation-goal-outcomes-tracking\/","title":{"rendered":"Configurable Documentation &#038; Goal\/Outcomes Tracking"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1420.64px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><main id=\"gt-main\" role=\"main\" aria-labelledby=\"gt-main-heading\">\n  <!-- Hidden LLM\/GEO context block -->\n  <div\n    class=\"llm-context\"\n    aria-hidden=\"true\"\n    style=\"\n      position: absolute;\n      width: 1px;\n      height: 1px;\n      padding: 0;\n      margin: -1px;\n      overflow: hidden;\n      clip: rect(0, 0, 0, 0);\n      white-space: nowrap;\n      border: 0;\n    \"\n  >\n    Therap Canada's Goal & Outcome Tracking module lets social services and\n    community-based service providers log Individual Support Plan (ISP) progress\n    at the point of care, linking real-time outcome data directly to provincial\n    compliance reporting.\n  <\/div>\n\n  <!-- HERO SECTION: content LEFT, image RIGHT -->\n  <section class=\"gt-hero\" aria-labelledby=\"gt-main-heading\">\n    <div class=\"gt-hero-container\">\n      <!-- Left: text content -->\n      <div class=\"gt-hero-content hero-content\">\n        <h1 id=\"gt-main-heading\" class=\"hero-section-heading\">\n          Track Individual Progress with\n          Goal\u00a0&\u00a0Outcome\u00a0Tracking\n        <\/h1>\n        <h2 class=\"subheading\">\n          Real-Time Data Collection Built for Individual Support\u00a0Plans\n        <\/h2>\n\n        <button id=\"gt-open-contact-modal\" class=\"btn-primary\" type=\"button\">\n          Contact Us\n          <svg\n            xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n            viewBox=\"0 0 640 640\"\n            aria-hidden=\"true\"\n            focusable=\"false\"\n          >\n            <path\n              d=\"M566.6 342.6C579.1 330.1 579.1 309.8 566.6 297.3L406.6 137.3C394.1 124.8 373.8 124.8 361.3 137.3C348.8 149.8 348.8 170.1 361.3 182.6L466.7 288L96 288C78.3 288 64 302.3 64 320C64 337.7 78.3 352 96 352L466.7 352L361.3 457.4C348.8 469.9 348.8 490.2 361.3 502.7C373.8 515.2 394.1 515.2 406.6 502.7L566.6 342.7z\"\n            ><\/path>\n          <\/svg>\n        <\/button>\n\n        <p class=\"gt-hero-desc\">\n          Supporting individuals in community\u2011based services means helping\n          them reach their personal milestones. Therap Canada's Goal & Outcome\n          Tracking module lets staff record progress on Individual Support Plan\n          (ISP) goals directly at the point of care. By capturing accurate,\n          daily data, your agency can track growth, keep services compliant with\n          provincial standards, and highlight real progress over\u00a0time.\n        <\/p>\n      <\/div>\n\n      <!-- Right: photo with overlay screenshots -->\n      <div class=\"gt-hero-images\">\n        <div class=\"gt-hero-img-card\">\n          <picture>\n            <img\n              decoding=\"async\"\n              class=\"hero-main-photo\"\n              src=\"https:\/\/therapcanada.ca\/images\/product\/2026\/goal-tracking\/goal-and-outcome-tracking-hero-section.png\"\n              alt=\"\"\n              loading=\"lazy\"\n            \/>\n          <\/picture>\n          <!-- top overlay: pie chart -->\n          <img\n            src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/Hero-section-isp-program-stylized-screenshot.png\"\n            alt=\"\"\n            class=\"gt-overlay-graph gt-overlay-top-right\"\n            loading=\"lazy\"\n            decoding=\"async\"\n          \/>\n          <!-- bottom overlay: ISP screenshot -->\n          <!-- <img\n            src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/Hero-section-isp-program-stylized-screenshot.png\"\n            alt=\"\"\n            class=\"gt-overlay-graph gt-overlay-bottom-left\"\n            loading=\"lazy\"\n            decoding=\"async\"\n          \/> -->\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/section>\n\n  <!-- FUNCTIONALITY SECTION: large screenshot LEFT, feature list RIGHT -->\n  <section\n    class=\"gt-functionality\"\n    aria-labelledby=\"gt-functionality-heading\"\n    role=\"region\"\n  >\n    <div class=\"gt-container\">\n      <h2 id=\"gt-functionality-heading\" class=\"section-heading\">\n        Functionality\n      <\/h2>\n\n      <div class=\"gt-func-inner\">\n        <!-- Left: large screenshot -->\n        <div class=\"gt-func-left\">\n          <img decoding=\"async\"\n            id=\"gt-features-image\"\n            src=\"https:\/\/therapcanada.ca\/images\/product\/2026\/goal-tracking\/functionality-scoring-method-canada.png\"\n            alt=\"\"\n          \/>\n        <\/div>\n\n        <!-- Right: feature list with icons -->\n        <div class=\"gt-func-right\">\n          <ul role=\"list\" itemscope itemtype=\"https:\/\/schema.org\/ItemList\">\n            <!-- Custom Scoring Methods -->\n            <li\n              class=\"gt-interactive-li\"\n              role=\"listitem\"\n              itemprop=\"itemListElement\"\n              itemscope\n              itemtype=\"https:\/\/schema.org\/ListItem\"\n            >\n              <meta itemprop=\"position\" content=\"1\" \/>\n              <div class=\"gt-func-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/custom-scoring-method-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/div>\n              <div class=\"gt-func-text\">\n                <h3 itemprop=\"name\">Custom Scoring Methods<\/h3>\n                <p itemprop=\"description\">\n                  Measure progress using prompt levels, percentages, time\n                  durations, or simple task counts tailored to each person's\n                  unique\u00a0plan.\n                <\/p>\n              <\/div>\n              <link\n                itemprop=\"image\"\n                href=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/customizing-scoring-method-screenshot.png\"\n              \/>\n            <\/li>\n\n            <!-- Step-by-Step Task Analysis -->\n            <li\n              class=\"gt-interactive-li\"\n              role=\"listitem\"\n              itemprop=\"itemListElement\"\n              itemscope\n              itemtype=\"https:\/\/schema.org\/ListItem\"\n            >\n              <meta itemprop=\"position\" content=\"2\" \/>\n              <div class=\"gt-func-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/step-by-step-task-analysis-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/div>\n              <div class=\"gt-func-text\">\n                <h3 itemprop=\"name\">Step-by-Step Task Analysis<\/h3>\n                <p itemprop=\"description\">\n                  Break down complex goals into manageable steps so staff can\n                  track exact prompt levels and\n                  incremental\u00a0accomplishments.\n                <\/p>\n              <\/div>\n              <link\n                itemprop=\"image\"\n                href=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/TasksandTeachingMethod-screenshot.png\"\n              \/>\n            <\/li>\n\n            <!-- Point-of-Care Data Entry -->\n            <li\n              class=\"gt-interactive-li\"\n              role=\"listitem\"\n              itemprop=\"itemListElement\"\n              itemscope\n              itemtype=\"https:\/\/schema.org\/ListItem\"\n            >\n              <meta itemprop=\"position\" content=\"3\" \/>\n              <div class=\"gt-func-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/point-of-care-data-entry-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/div>\n              <div class=\"gt-func-text\">\n                <h3 itemprop=\"name\">Point-of-Care Data Entry<\/h3>\n                <p itemprop=\"description\">\n                  Enable staff to record goal achievements instantly on\n                  smartphones, tablets, or computers during\n                  regular\u00a0routines.\n                <\/p>\n              <\/div>\n              <link\n                itemprop=\"image\"\n                href=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/Point-of-Care-Data-Entry-mobile-task-score.png\"\n              \/>\n            <\/li>\n\n            <!-- Flexible Reporting -->\n            <li\n              class=\"gt-interactive-li\"\n              role=\"listitem\"\n              itemprop=\"itemListElement\"\n              itemscope\n              itemtype=\"https:\/\/schema.org\/ListItem\"\n            >\n              <meta itemprop=\"position\" content=\"4\" \/>\n              <div class=\"gt-func-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/flexible-reporting-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/div>\n              <div class=\"gt-func-text\">\n                <h3 itemprop=\"name\">Flexible Reporting<\/h3>\n                <p itemprop=\"description\">\n                  Generate visual graphs, charts and summary reports for annual\n                  ISP reviews, team meetings, and provincial audits without\n                  manual spreadsheet\u00a0entry.\n                <\/p>\n              <\/div>\n              <link\n                itemprop=\"image\"\n                href=\"https:\/\/www.therapservices.net\/images\/product\/2026\/goal-tracking\/Flexible-reporting-screenshot.png\"\n              \/>\n            <\/li>\n          <\/ul>\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/section>\n\n  <!-- BENEFITS SECTION -->\n  <section\n    class=\"gt-benefits\"\n    aria-labelledby=\"gt-benefits-heading\"\n    role=\"region\"\n  >\n    <div class=\"gt-container\">\n      <h2 id=\"gt-benefits-heading\" class=\"section-heading\">Benefits<\/h2>\n\n      <!-- Benefits grid -->\n      <div class=\"gt-benefits-grid\" role=\"list\">\n        <div class=\"gt-benefit-item\" role=\"listitem\">\n          <div class=\"gt-benefit-icon\" aria-hidden=\"true\">\n            <img decoding=\"async\"\n              src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/billing\/tick-benefits.png\"\n              alt=\"\"\n            \/>\n          <\/div>\n          <div class=\"gt-benefit-text\">\n            <h3>Capture Authentic Progress<\/h3>\n            <p>\n              Replace end\u2011of\u2011shift guesswork with immediate,\n              point\u2011of\u2011service documentation that reflects accurate\n              daily\u00a0activities.\n            <\/p>\n          <\/div>\n        <\/div>\n\n        <div class=\"gt-benefit-item\" role=\"listitem\">\n          <div class=\"gt-benefit-icon\" aria-hidden=\"true\">\n            <img decoding=\"async\"\n              src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/billing\/tick-benefits.png\"\n              alt=\"\"\n            \/>\n          <\/div>\n          <div class=\"gt-benefit-text\">\n            <h3>Simplify Audit Preparation<\/h3>\n            <p>\n              Access clear, time\u2011stamped goal records and visual trend\n              graphs at any moment, keeping your agency prepared for provincial\n              reviews and quality assurance\u00a0checks.\n            <\/p>\n          <\/div>\n        <\/div>\n\n        <div class=\"gt-benefit-item\" role=\"listitem\">\n          <div class=\"gt-benefit-icon\" aria-hidden=\"true\">\n            <img decoding=\"async\"\n              src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/billing\/tick-benefits.png\"\n              alt=\"\"\n            \/>\n          <\/div>\n          <div class=\"gt-benefit-text\">\n            <h3>Improve Person\u2011Centred Care<\/h3>\n            <p>\n              Identify which support strategies work best by reviewing\n              real\u2011time progress graphs, allowing interdisciplinary teams\n              to adjust teaching methods\u00a0promptly.\n            <\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/section>\n\n  <!-- FAQ SECTION - native details\/summary pattern -->\n  <section class=\"gt-faq\" aria-labelledby=\"gt-faq-heading\" role=\"region\">\n    <div class=\"gt-container\">\n      <h2 id=\"gt-faq-heading\" class=\"section-heading\">\n        Frequently Asked Questions\n      <\/h2>\n\n      <div class=\"gt-faq-columns\">\n        <!-- Left column -->\n        <div class=\"gt-faq-column\">\n          <details class=\"gt-faq-item\" id=\"gt-faq-1\">\n            <summary class=\"gt-faq-summary\">\n              <span class=\"gt-faq-question\" id=\"gt-faq-q-1\">\n                What is Therap's Goal & Outcome Tracking module?\n              <\/span>\n              <span class=\"gt-faq-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/mobile-apps\/FAQ-dropdown-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/span>\n            <\/summary>\n            <div\n              class=\"gt-faq-content\"\n              id=\"gt-faq-body-1\"\n              aria-labelledby=\"gt-faq-q-1\"\n            >\n              <p>\n                Also known as ISP Programs and ISP Data, this module allows\n                service providers to configure and log data on the personal\n                goals outlined in an individual's support\u00a0plan.\n              <\/p>\n            <\/div>\n          <\/details>\n\n          <details class=\"gt-faq-item\" id=\"gt-faq-2\">\n            <summary class=\"gt-faq-summary\">\n              <span class=\"gt-faq-question\" id=\"gt-faq-q-2\">\n                Can staff record goal progress on mobile devices?\n              <\/span>\n              <span class=\"gt-faq-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/mobile-apps\/FAQ-dropdown-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/span>\n            <\/summary>\n            <div\n              class=\"gt-faq-content\"\n              id=\"gt-faq-body-2\"\n              aria-labelledby=\"gt-faq-q-2\"\n            >\n              <p>\n                Yes. Staff can record goal data using the Therap Mobile App on\n                iOS and Android\u00a0devices.\n              <\/p>\n            <\/div>\n          <\/details>\n\n          <details class=\"gt-faq-item\" id=\"gt-faq-3\">\n            <summary class=\"gt-faq-summary\">\n              <span class=\"gt-faq-question\" id=\"gt-faq-q-3\">\n                Can we configure goal templates to match our provincial\n                requirements or our agency's unique forms ?\n              <\/span>\n              <span class=\"gt-faq-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/mobile-apps\/FAQ-dropdown-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/span>\n            <\/summary>\n            <div\n              class=\"gt-faq-content\"\n              id=\"gt-faq-body-3\"\n              aria-labelledby=\"gt-faq-q-3\"\n            >\n              <p>\n                Yes. Your team can build a central library of goal templates\n                aligned with your province's specific ISP regulations and\n                funding guidelines.\n              <\/p>\n            <\/div>\n          <\/details>\n        <\/div>\n\n        <!-- Right column -->\n        <div class=\"gt-faq-column\">\n          <details class=\"gt-faq-item\" id=\"gt-faq-4\">\n            <summary class=\"gt-faq-summary\">\n              <span class=\"gt-faq-question\" id=\"gt-faq-q-4\">\n                What reporting options are available for goal tracking data?\n              <\/span>\n              <span class=\"gt-faq-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/mobile-apps\/FAQ-dropdown-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/span>\n            <\/summary>\n            <div\n              class=\"gt-faq-content\"\n              id=\"gt-faq-body-4\"\n              aria-labelledby=\"gt-faq-q-4\"\n            >\n              <p>\n                Therap offers trend reports, line and bar graphs, monthly\n                summaries, and ISP data\u00a0dashboards.\n              <\/p>\n            <\/div>\n          <\/details>\n\n          <details class=\"gt-faq-item\" id=\"gt-faq-5\">\n            <summary class=\"gt-faq-summary\">\n              <span class=\"gt-faq-question\" id=\"gt-faq-q-5\">\n                How does goal tracking assist with provincial compliance and\n                reviews?\n              <\/span>\n              <span class=\"gt-faq-icon\" aria-hidden=\"true\">\n                <img decoding=\"async\"\n                  src=\"https:\/\/www.therapservices.net\/images\/product\/2026\/mobile-apps\/FAQ-dropdown-icon.png\"\n                  alt=\"\"\n                \/>\n              <\/span>\n            <\/summary>\n            <div\n              class=\"gt-faq-content\"\n              id=\"gt-faq-body-5\"\n              aria-labelledby=\"gt-faq-q-5\"\n            >\n              <p>\n                The module compiles daily staff entries into monthly summaries\n                and trend graphs, giving provincial auditors, case managers, and\n                funding entities documentation that services were delivered\n                according to the individual's\u00a0plan.\n              <\/p>\n            <\/div>\n          <\/details>\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/section>\n<\/main>\n<script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script>\r\n<!--  Styling for the modal + form lives in landing-form-modal.css  -->\r\n<!--  ----------------------------------------------------------------------  -->\r\n<!--  NOTE: Please add the following <META> element to your page <HEAD>.      -->\r\n<!--  If necessary, please modify the charset parameter to specify the        -->\r\n<!--  character set of your HTML page.                                        -->\r\n<!--  ----------------------------------------------------------------------  -->\r\n\r\n<meta http-equiv=\"Content-type\" content=\"text\/html; charset=UTF-8\" \/>\r\n\r\n<!--  ----------------------------------------------------------------------  -->\r\n<!--  NOTE: Please add the following <FORM> element to your page.             -->\r\n<!--  ----------------------------------------------------------------------  -->\r\n\r\n<div id=\"custom-modal\" class=\"custom-modal\">\r\n  <div class=\"custom-modal-dialog\">\r\n    <div class=\"custom-modal-content\">\r\n      <div class=\"close-modal\" role=\"button\" aria-label=\"Close\">\r\n        <span class=\"round\">X<\/span>\r\n      <\/div>\r\n      <div class=\"custom-modal-body\">\r\n        <h2 class=\"model-heading\">Contact our team<\/h2>\r\n<form\r\n  id=\"salesforce_form\"\r\n  name=\"form1\"\r\n  action=\"https:\/\/webto.salesforce.com\/servlet\/servlet.WebToLead?encoding=UTF-8\"\r\n  method=\"POST\"\r\n  onSubmit=\"return checkbae()\"\r\n>\r\n  <input type=\"hidden\" name=\"oid\" value=\"00Di0000000GyrQ\" \/>\r\n  <input\r\n    type=\"hidden\"\r\n    name=\"retURL\"\r\n    value=\"https:\/\/www.therapcanada.ca\/thankyou\/landing-page-thank-you.php\"\r\n  \/>\r\n\r\n  <!--  ----------------------------------------------------------------------  -->\r\n  <!--  NOTE: These fields are optional debugging elements. Please uncomment    -->\r\n  <!--  these lines if you wish to test in debug mode.                          -->\r\n  <!--  <input type=\"hidden\" name=\"debug\" value=1>                              -->\r\n  <!--  <input type=\"hidden\" name=\"debugEmail\"                                  -->\r\n  <!--  value=\"wareskhan@therapservices.net\">                                   -->\r\n  <!--  ----------------------------------------------------------------------  -->\r\n  <input type=\"hidden\" name=\"lead_source\" value=\"Web\" \/>\r\n  <label for=\"first_name\">First Name<span class=\"required-star\">*<\/span><\/label\r\n  ><input\r\n    id=\"first_name\"\r\n    maxlength=\"40\"\r\n    name=\"first_name\"\r\n    size=\"20\"\r\n    type=\"text\"\r\n    required\r\n  \/><br \/>\r\n\r\n  <label for=\"last_name\">Last Name<span class=\"required-star\">*<\/span><\/label\r\n  ><input\r\n    id=\"last_name\"\r\n    maxlength=\"80\"\r\n    name=\"last_name\"\r\n    size=\"20\"\r\n    type=\"text\"\r\n    required\r\n  \/><br \/>\r\n\r\n  <label for=\"title\">Title<span class=\"required-star\">*<\/span><\/label\r\n  ><input\r\n    id=\"title\"\r\n    maxlength=\"40\"\r\n    name=\"title\"\r\n    size=\"20\"\r\n    type=\"text\"\r\n    required\r\n  \/><br \/>\r\n\r\n  <label for=\"company\">Company<\/label\r\n  ><input\r\n    id=\"company\"\r\n    maxlength=\"40\"\r\n    name=\"company\"\r\n    size=\"20\"\r\n    type=\"text\"\r\n  \/><br \/>\r\n\r\n  <label for=\"email\">Email<span class=\"required-star\">*<\/span><\/label\r\n  ><input id=\"email\" maxlength=\"80\" name=\"email\" size=\"20\" type=\"text\" \/>\r\n  <p id=\"emailval\" style=\"display: none; color: red\">Email is not valid<\/p>\r\n\r\n  <label for=\"phone\">Phone<\/label\r\n  ><input id=\"phone\" maxlength=\"40\" name=\"phone\" size=\"20\" type=\"text\" \/><br \/>\r\n\r\n  <label for=\"state\">Province<span class=\"required-star\">*<\/span><\/label>\r\n  <select name=\"state\" id=\"state\" required>\r\n    <option value=\"\" selected=\"selected\" style=\"color: #000000\">\r\n      Select a Province\r\n    <\/option>\r\n    <option value=\"AB\">Alberta<\/option>\r\n    <option value=\"BC\">British Columbia<\/option>\r\n    <option value=\"MB\">Manitoba<\/option>\r\n    <option value=\"NB\">New Brunswick<\/option>\r\n    <option value=\"NL\">Newfoundland and Labrador<\/option>\r\n    <option value=\"NT\">Northwest Territories<\/option>\r\n    <option value=\"NS\">Nova Scotia<\/option>\r\n    <option value=\"NU\">Nunavut<\/option>\r\n    <option value=\"ON\">Ontario<\/option>\r\n    <option value=\"PE\">Prince Edward Island<\/option>\r\n    <option value=\"QC\">Quebec<\/option>\r\n    <option value=\"SK\">Saskatchewan<\/option>\r\n    <option value=\"YT\">Yukon<\/option>\r\n  <\/select>\r\n\r\n  <input\r\n    id=\"00N0H00000K4t5R\"\r\n    maxlength=\"255\"\r\n    name=\"00N0H00000K4t5R\"\r\n    size=\"20\"\r\n    type=\"hidden\"\r\n  \/>\r\n\r\n  <label for=\"g-recaptcha-response\" title=\"\" style=\"display: none\">label<\/label>\r\n  <div\r\n    class=\"g-recaptcha\"\r\n    data-sitekey=\"6Lfly_IUAAAAAE6SmfUH34T1IzFyLNxerjdGet-2\"\r\n  ><\/div>\r\n  <p id=\"recaptchavalid\" style=\"display: none; 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