Family/Significant Other Intake Form

Thank you for connecting with CMHA TVAMHS. We know how difficult it is to seek help for someone who is struggling with substance use, problem gambling, or other behavioural concerns. We offer groups and programs that can assist you in supporting your loved one while practicing healthy ways to support yourself.


Please complete this intake form to get started. Please note that this form needs to be completed and you are NOT able to save your work half way through. Once completed/submitted an intake counsellor will call you within 2 business days to complete the process and get you connected with services.