Submit a Referral

Complete the form below and a member of our clinical team will review the referral and follow up as needed

All referrals are confidential and reviewed by our clinical team

Patient Name
Is this a WHW client
Reason for Referral
Check all that apply
Has this patient seen a psychiatrist?
Is the patient under the care of a psychiatrist now?
I acknowledge that I remain involved with their care of the patient
I acknowledge that WHW cannot accept patients with Psychosis, Bipolar Disorder, Primary Substance Use
The following services offered at WHW are not OHIP covered but may be covered under insurance

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