- Complete the following form if the patient is 18 or older and interested in consultation with our program.
- Upon receipt of your request, we will send you by email a link to your intake questionnaires within 72 hours.
- After a review of your submitted intake questionnaires, we will advise you of the next step.
- Please be sure to check your spam folder occasionally to ensure you do not miss our correspondence
- Please note that intake assessments must be done in-person in order to participate in virtual care afterwards.