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

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

Social Worker, Psychotherapist, Clinical Counselling Hypnotherapist, Indigenous Trauma Specialist

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

London, On

info@lmcaas.com

Tel: 1-226-457-6693

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