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. Also, our therapists provide services to patients ages 12+ years old.

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Symptoms You're Experiencing

Referral Information

Do you have extended health insurance?
Who is covered?
Are you a veteran?
Are you a first responder?
If yes, occupation?

Please check your 'junk mail' for our email response!

Thanks for submitting!