Addictions, Mental Health & Crisis Services Waterloo, Wellington
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Referral Forms & Wait Times
Referral Forms are Changing for 17+
As part of Ontario’s transition to regional Central Intake hubs, and in alignment with provincial requirements, CMHA WW, as the Ontario Health West hub lead, requires all referrals to be submitted using the Provincial Standard Referral Form (SRF). The SRF replaces multiple program-specific forms and supports a consistent, streamlined referral process across the province.
What is NOT Changing?
There are no changes to referral forms for:
- Children and youth under age 17
- Seniors’ services
Please review the information below to confirm which referral form should be used for each service.
If you are unsure which service or referral pathway is the best fit, please submit the Provincial Standard Referral Form (SRF) and our team will help connect you to the most appropriate next step.
| Services Offered | Location |
| Adult Intensive Services (AIS) | All services areas |
| Cambridge Memorial Hospital (CMH) – Adult Psychiatry and Mental Health Services – Child and Family Team – Family Physicians or Pediatricians can fax their referrals for individuals 5 to 18 years of age to the Child and Family Intake team at 519-740-4936. – Other Children’s services offered through Front Door – please refer directly | Cambridge |
| Child Psychiatry | Guelph and Wellington County |
| Child and Adolescent Eating Disorders | Guelph, Wellington County, Cambridge and North Dumfries |
| Here4Kids | Guelph and Wellington County |
| Specialized Geriatric Services (SGS) | All service areas |
| Thresholds Homes and Supports Housing Support Services – Mental Health Referral | All service areas |
| Waterloo Region Health Network (WRHN) – Patient Referral Forms – Child and Adolescent Eating Disorders – Children’s psychiatry services offered through WHRN – please refer directly – Other Children’s services offered through Front Door – please refer directly | Kitchener and Waterloo |