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.

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Intake form (referral)

Consent to treatment

Consent to release information

Print Brochure