Agency Referral

Thank you for supporting youth mental health.

To ensure confidentiality, please note that after submitting this referral request you will be emailed a secure referral form to provide more detailed information.

Step 1: Request for Referral Form

Your Name

First Name

Last Name

Your Email

Agency Affiliation

Name of person being referred

First Name

Last Name

Agency Referral

Sound Youth Counselling Inc.

info@soundyouthcounselling.ca