Kitchener-Waterloo Referral Forms

For clients residing in KW

We accept e-referrals

• WRHN Psychiatry – Offered through Waterloo Region Health Network:
  • WRHN Patient Referral Forms
• Children’s psychiatry services offered through WHRN – please refer directly
• Other Children’s’ services offered through Front Door – please refer directly
• Adult Intensive Services (AIS)
• Dialectical Behavioural Therapy (DBT)
• Adult Eating Disorders
• Child and Adolescent Eating Disorders 
• Early Psychosis (First Step)
• Mental Health and Justice (MHJ)
• Skills for Safer Living (SFSL)
• Specialized Geriatric Services (SGS)
• Thresholds Homes and Supports Housing Support Services – Mental Health Referral
• General Referral Form

Click Here for Approximate Wait-List Times