Mental Health & Addictions Service Referral Form

If you or a loved one are in need of support, please don’t hesitate to reach out to our Central Intake Team. You can contact them at 519-371-3642, extension 3212, for more information. Our team is available from Monday to Friday, 8:30 AM to 4:30 PM. If you happen to call outside these hours or if our team members are unavailable, please leave a message, and we will return your call as promptly as possible.

For health service providers looking to refer a patient or client to CMHA programs or services, please fill out the referral form provided below and fax it to us at 226-909-0484. Your collaboration in connecting individuals with the help they need is greatly appreciated.

Form: Mental Health & Addictions Service Referral Form