Professional Referral Form
We work collaboratively with physicians, nurse practitioners, guidance counsellors and other professionals to provide a complete circle of care for our clients. If you are referring a client, student or patient to us, kindly complete the form below for our dedicated intake counsellors. Please ensure you have received the client, student or patient’s consent for us to contact them directly to set up an initial consultation. Where required, we will obtain their consent to keep you informed about their care.
Referrals from Professionals
If you are a professional looking to refer someone to one of our clinics, please complete our Professional Referral Form.
Note: Clients do not require a professional referral and may contact us directly.
You can also contact our intake team from 10:00 AM. to 6:00 PM. EST, Monday to Saturday by calling, emailing or completing our intake form.
We typically reply within 24 hours.
Please add [email protected] to your contact list and check your Junk and Spam folders for our emails.