The following treatment centres are available to individuals who reside in the BC region. Please indicate your placement preference.
To be completed as needed.
If no legal guardian, please input emergency contact information
Please write out the program goals for the individual in the space below
Please write out the transition and permanence plan for the individual in the space below
Anything that doesn't fit the above categories
Please complete as applicable
Please provide social worker details
Please provide Counsellor details
Please provide Mental Health Worker details
Please provide Family Support Worker details
Please provide Elder details
Please provide Physician details
Please provide Bail/Probation Officer details
Please provide details if you'd like them included in the circle of care.
If you proceed to intake, further information will be obtained from one of our staff regarding those in your care team.