Elements Support Services
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Make A Referral

Referrals can be initiated by either of the following methods:

  • call 905-637-5412 and speak with Paul
  • download and mail or fax the PDF Referral Form
  • complete the secure Online Referral Form

Generally at this stage we like to visit with the potential client, introduce our service and discuss needs. If requested we can conduct an assessment that outlines how our intervention would support and enhance the client’s treatment. We will also ask for any additional relevant information.

The Treatment Program Plan is completed and submitted to the insurer. Once approval is granted we introduce the Rehabilitation Support Worker to the client and the Treatment Team.

  PDF Referral Form

     > click here (a new window will open, save file on your computer and print out)

Free Adobe Reader for PDF files

or use our secure and convenient online form below

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