The Referral Form for Health Care Professionals is a confidential* document that can be used by medical or mental health personnel to direct patients to the counsellors at Forging Forward Counselling Services. The patient is asked to consent to email communication including the receipt of electronic in-take forms from our secure practice management system.

Important Notice
*Due to the confidential nature of this referral form, please only submit the completed document by secure facsimile to 613-775-0615 or encrypted PDF to lisa.bowman@forgingforward.ca in order to best protect client information.

Please contact our client care coordinator at 613-687-0222 to request a password.