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

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 or In-office Support

*No referral required

Located in London, Ontario

      

© 2016 by Rey Singh MSW, RCS, C.Hyp, RSW

Social Worker, Psychotherapist, Clinical Counselling Hypnotherapist

Rey Singh MSW, RCS, C.Hyp, RSW.

211 - 186 King St.

London, On, N6A 1C7

info@lmcaas.com

Tel: 1-855-339-1666

Fax: 519-204-3886

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