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MENTAL HEALTH COURT DIVERSION/COURT SUPPORT PROGRAM FORENSIC ASSESSMENT PROGRAM REFERRAL


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REFERRAL SOURCE
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CLIENT INFORMATION
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Canadian Mental Health Association, Kenora Branch under the new PHIPA “Implied Consent” states that we have concluded from surrounding circumstances that you would agree to the collection, use or disclosure of your personal health information. Whatever information referral agency obtains please forward to Canadian Mental Health Association, Kenora Branch with the consent of the client. Consent for Canadian Mental Health Association, Kenora Branch will need to be signed as well . Please forward Consent from the referral agency with the referral form.
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Contact Information

To find additional contact information and directions to find us please click here.

1 (807) 468-1838
227 Second Street South
Kenora, Ontario
P9N-1G1
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