REFERRAL PACKAGE

Please DOWNLOAD and PRINT the referral form and fax the completed copy to 604-524-4634.

Referring Agents Please Note:

Clients must have their name on the waitlist before we can accept a completed referral package from an agent. A referral received without client on the waitlist will be held for 48 hours only.

INTAKE OFFICE – 24 hours/day, 7 days/week

Toll Free: 1-866‐524‐5633
Office: 604-524-5633
Fax: 604-524-4634
Email: info@westminsterhouse.ca

Once a client has been placed on the wait list, in order to maintain their position on the list the client must:

Call everyday to check in with any Westminster House Staff. All check-ins are documented. If I client does not call in for 2 weeks they will be taken off the wait list.
Funding confirmation in place
Confirmation of TB testing
Clients referral package filled out by a counsellor, Doctor, or Social Worker

Print the referral package
Fill out the referral package in detail
Sign the referral package
Fax the completed document to 604-524-4634

All referral sources are considered