Referring Agents

Please download and print the referral form at the bottom of this page, and send the completed copy back to us by:

Fax: 604-524-4634

Referrals are accepted from any source, including the following:

  • Community health centres
  • Medical detoxification centres
  • Community addiction services counsellors
  • Residential treatment facilities
  • Employee Assistance Programs (EAPs)
  • Clergy
  • School Counsellors, Academic Advisors
  • Self-referrals
  • Physicians, Psychologist, Psychiatrist, ect.


For Self Referrers

Self Referral Form
pdf, 234.16 KB
For Referring Agents

FHA Referral Form
pdf, 306.45 KB