Our Programs

Mental illness affects 1 in 5 people in our community. People with mental illness are mothers, fathers, sisters and brothers; they are friends, musicians, teachers, community leaders, students, mechanics, and business owners.

Recovery is possible. And it can be easier with support along the way. That’s where we come in; we can help.

If you would like to talk to someone about our programs and services, call 905-853-8477 or 1-866-208-5509, ext. 3321 (Central Intake Team). Or complete the form below and someone will contact you:

Client Referral Form

Date:
Name* :
Surname:
A.K.A.:
Gender Identity:
D.O.B.:
Current Age:
Address:
City/ Town* :
Postal Code:
Email:
Home/Primary Phone Number*:
Alternate Phone Number:
Do you have Voice Mail:  Yes No
May we leave a voice mail message?  Yes No
How can we best contact you?
If Other, please specify:
Name and Contact of Referral Source*
When is it best to contact you (we will try to contact you during the time period indicated)?
Is this an internal referral?  Yes No
Have you completed an OCAN?  Yes No Don't Know
Is client aware of the referral being made?  Yes No
Is there a diagnosis?  Yes No
If Yes, please specify:
Are you interested in a specific program? If yes, which program(s)?
What kind of help are you seeking? Please thoroughly explain: