Intake Forms

Please download the following documents (3 docs) and them by email to FNintake@lmcaas.com or send them by confidential fax to 519-204-3886. Then book a session time under the Book a Session tab. This confidentiality of this information is protected by a highly secure filing system.

Intake form (referral)
Consent to treatment
Consent to release information
Print Brochure