Make a referral

Sending a client takes about five minutes.

There’s no long form to fight with. Send us the essentials and our intake team handles the rest — screening, matching, funding, and scheduling.

referrers referral form

What to include

Everything we need, nothing we don’t.

A short note is enough to start. If something on this list is missing, we’ll follow up rather than send the referral back.

  • Client name, date of birth, phone number, and email
  • Reason for referral and how long it's been going on
  • Current treatment, medications, and any past programs
  • Level of urgency, and any risk you're aware of
  • Funding source, if you know it (benefits, employer, workers' compensation)
  • Your name, role, and the best way to reach you

Please confirm your client knows the referral is being sent and consents to being contacted.

What happens next

You’ll know where it landed.

Acknowledgement

You get confirmation that the referral arrived, within one business day.

Screening call

An intake clinician calls your client, usually within three business days, to understand needs and confirm funding.

Recommended pathway

We recommend therapy, a structured program, or medically assisted therapy — and book the first appointment.

Update back to you

With your client’s consent, we send a short summary of the plan and agree on how often you’d like progress notes.

Urgent situations

We are not a crisis service.

For time-sensitive but non-emergency referrals, call intake and say it’s urgent. We keep a small number of expedited screening slots each week.

If your client is at immediate risk, direct them to emergency services or the nearest emergency department. Once they are stable, we can pick up ongoing outpatient care.

referrers intake desk

Not sure it's a fit?

Ask before you refer.

Our intake clinicians are happy to talk through a case without a formal referral. If we’re not the right service, we’ll say so and suggest where else to look.

Contact intake

Reach the intake team.

Phone

1-800-555-0199
Mon–Fri, 8:00am–6:00pm local time

Email

intake@thenewly.ca
Acknowledged within one business day

Secure fax

1-800-555-0198
For charts and completed referral forms

Ready to send it?

Email the essentials or call intake directly. We’ll take it from there.