REFERRAL FORM

Referral Form

CBT Niagara is a private, fee-for-service psychological clinic offering individual cognitive behaviour therapy. Our services are not covered by OHIP although psychological services are often covered through extended health care plans.

 

Please note: We do not accept any referrals which are MVA related.

Sex:
May we leave you a voice message?

Reason for Referral

Referral Information

Do you have extended health insurance?
Who is covered?
Are you a first responder?
Are you a veteran?
CBTNIAGARAlogoHOR.png

10 Salina Street, St.Catharines, Ontario  L2R 3K1

 
Phone:
905-988-1797

Fax: 905-988-1799

copyright 2021