top of page
Employment Services
Kinesiology
Vocational Rehabilitation
Counselling
Occupational Therapy
Home
About
Services
Ageing at Home
Child & Youth
Counselling
Employment Services
Kinesiology
Occupational Therapy
Vocational Rehabilitation
Team
Blog
Contact
1-250-314-0377
Referrals
Referral Form
Referral lnformation
Client Name
*
Email
*
Telephone Number
*
Reason for Referral (select all that apply)
Age-Related Conditions: Arthritis, Dementia, Joint Replacement, Other
Clinical Counselling
Chronic Pain
Developmental Conditions: Autism Spectrum, Learning Disabilities, Intellectual Disabilities, Other
Motor Vehicle Accident
Occupational Health and Safety / Prevention Services
Sports Injury: Concussion, Orthopedic, Other
Survivor of Violence / Abuse
Work Place Injury
Background
*
Preferred Method of Session
*
Next
Home
About
Services
Ageing at Home
Child & Youth
Counselling
Employment Services
Kinesiology
Occupational Therapy
Vocational Rehabilitation
Team
Blog
Contact
bottom of page