Thank you for connecting with us. Please note that filling out this intake form will take approximately 10-20 minutes and needs to be completed in full once you start.

You are NOT able to save your work half way through.

Once this form is completed, you will be directed to a second link to complete a short screener. This second form is a part of the intake process and need to be completed within 24 hours of this form.

Once both forms are completed, an intake counsellor will call you back to complete the process and get you connected with services.

Please Note: We are currently experiencing a high volume of referrals, as a result, it may take up to 10 business days for us to contact you.