FormsPlease fill out our secure online referral form if you are:
- a new client looking for assessment, treatment, or consultation, or
- a physician or mental health clinician looking to refer a new client
Once we review the referral request, we will contact you within a week to review your referral information and discuss service options without charge. These may include one of the followings:
- Scheduling your first therapy session;
- Scheduling a one-hour pre-group assessment to determine if you are a suitable candidate for our skills group, or
- Scheduling a 3-hour intake assessment to form diagnostic impressions and treatment recommendations IMPORTANT NOTE. Information collected on the referral form will be sent directly to our secure clinic email (email@example.com). In the event that no clinical service is provided for any reasons, the information collected will be destroyed. If you are from a family doctor's office and would like to refer a patient to Dr. Loveleen Uppal, MD, FRCPC, for adult psychiatric service, please print and fax Dr. Uppal referral form to 604-630-7062.