Eligibility Requirements
Refer a Client / Become a Client
Option 1: (Preferred): A healthcare professional completes our secure online referral form:
Or the HIV referral form may be downloaded here, the cancer referral form downloaded here and returned by fax to (866) 737-9858. Once we receive the form, a member of our team will contact the referred individual to schedule an intake appointment.
Option 2: Submit a self-referral using our secure self-referral form:
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