SOHS Referrals

SOHS Clinicians are NOT first line responders. A request for services must first go through a client intake process to match each client with an appropriate counsellor. Thank-you for your understanding

Please submit all incoming referrals to [email protected]

1. Persons requesting counselling services from SOHS must complete this form. The Mental Outreach Health Clinician is available to help (Phone 250-256-7523), or you may complete it and email it or drop off to the above address.
2. Once the Mental Outreach Health Clinician has received a signed Incoming Referral Form from a client, they will bring the request for services to the SOHS counselling team to match the client with the most appropriate counsellor, and there may be a waitlist. (the Mental Outreach Health Clinician does not make decisions about who receives services).
3. Within 3 business days of receiving a signed Incoming Referral Form, the Mental Outreach Health Clinician will contact the client to discuss the options, which may include being placed on a waitlist and/or being referred to another counsellor while they wait.

Please reference the PDF document below for the Referral Form, you can fill out the pdf digitally, print off and complete by hand, or call in to our Mental Outreach Health Clinician, Cole Levitt at 250-256-7523 and ask to fill it out over the phone. 

To fill out the form below using the fillable PDF function, please download the Adobe Acrobat App: