Privacy Policy
User Survey and RSA Form
Our site requests information from users via a User Survey and a Referral Service Application form. Participation in the Survey or form is completely voluntary and the user therefore has a choice whether or not to disclose personal information. The requested information includes contact information (such as name and address), and demographic information.
Contact information will be used to get in touch with those who have filled out the RSA form. Survey information will be used for purposes of monitoring and improving the use and satisfaction of this site. Site visitors' personally identifiable information is not shared with third parties. We do not use visitors' personally identifiable information for any secondary purposes.
Treatment Application Form
Dear Applicant,
Thank you for contacting the TICP Referral Service. After completing the enclosed therapy application form, please mail it along with a cheque payable to TICP for $25.00 to the address listed below. This fee is charged to offset administrative costs. You can also complete and submit your application online by clicking on the link below. Or, you may choose to email your application, as descibed below. 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
Please click on the pdf file below to download an application form for treament referral.
Completed applications may be mailed along with payment to the address listed above. If you wish, completed applications may also be emailed in strict confidentiality to Kadri-Ann Laar, Ph.D. and chair of the TICP Referral Service at laarka@sympatico.ca. Payment must then follow by mail to the address listed above.
Alternatively, you may choose to complete an online application form and submit it along with payment online. To do so, click on the link below:
http://www.ticp.on.ca/Online-Application.php