THere are two options to choose from to complete the application for referral:
1. You can download the application for referral form by clicking on the PDF link above, and send it along with payment by cheque (made out to TICP) to the address on the form.
OR
2. Complete the application for referral form online, and click submit. To pay, you can choose to pay the $25 fee online by clicking the payment link below; or you can send a cheque as indicated above to the address inidcated on the form.
http://www.gifttool.com/registrar/ShowEventDetails?ID=1485&EID=4990
Dear Applicant,
Thank you for contacting the TICP Referral Service. After completing the online therapy application form, please click Submit, and proceed to the online payment process. The application fee is $25.00. This fee is charged to offset administrative costs. We assure you that your application will receive careful consideration and will be held in the strictest of confidence. We will contact you promptly with the name of a therapist who is available to meet with you to assess your needs and provide the treatment you require. Our therapists are not covered by OHIP and therefore the fee for psychotherapy sessions is discussed and determined during your first treatment session. We hope it will be possible for us to help you. Should we be unable to provide the services you need, every effort will be made to connect you with other agencies or individuals who may be able to do so.
Thank you again for using our services.
Sincerely,
Kadri-Ann Laar, Ph.D, C.Psych., Chair
99 Post Rd., Toronto, ON M3B 1J3
E-mail: laarka@sympatico.ca
Naomi Stein, MA
TICP Referral Service Committee