By clicking on the intake form button, you will be redirected to our built-in intake form, please note, the form must be completed fully in one session as the information will not be stored or saved.

Intake form You can complete the application on your own device by downloading the form below. Submit the pdf via email to: [email protected]

Intake Where we learn your story, collaborate on your needs and goals along with reviewing all required documents for potential admission to ensure you get the best care in your healing …

Contact Us Intake / Referrals For more information, email [email protected] or call Intake at (807) 627-3524.

Addiction Treatment Center. Ka-Na-Chi-Hih is a 6 bed, 12-week residential treatment program for individuals with polysubstance use and mental health challenges.

We introduced a Centralized Intake Process Facilitator to streamline referrals and ensure waitlists are consistently maintained. Our organizational structure also grew with the addition of key …

*PLEASE NOTE: ALL SECTIONS OF THIS FORM MUST BE COMPLETED IN FULL. Incomplete forms will be returned and may delay the intake process. PLEASE CHECK OFF WHICH …

At our Rehabilitation Center, we believe in the continuum of holistic care which embraces traditional and contemporary teachings, skills and values which benefit those receiving and …

The Pelican High Peak Treatment Centre is a safe place from physical, emotional, or mental harm and all residents attending will be treated with equal care and respect.

agent MUST fax a copy of the travel itinerary or notify the intake department a minimum of 24 hours prior to the client’s arrival. The referring agent contacts Ka-Na-Chi-Hih once a month to …