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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
First Nations Counselling Portal Ontario & British Columbia
...Promoting culturally-immersed support and access to Psychotherapy and Counselling Services across Ontario and British Columbia
*ALL FEES COVERED
Trauma-Responsive Counselling Support for Mental Health Crisis and Residential School Health Supports, Indian Day School, MMIWG for First Nations in Ontario and British Columbia.
Online by Appointment Only
*No referral required
Located in London, Ontario
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