Referral Request Form

Referrals made to other professionals or appropriate agencies for those who require further assistance (i.e. medical, financial, psychiatric, legal, etc.).  Consultations for students seeking advice regarding how to help friends/loved ones in crisis.

Please provide the specific area (ie. North York, Vaughn, etc.)
(e.g. anxiety, pornography, abuse, self-esteem, marital issues, pre-marital counselling, etc…)
If you do not receive a reply from us within 5 days, please follow up by emailing or calling 416-226-6620, ext. 2123.