External Referrals to Student Services

If you would like to refer a patient/client to one of our Student Wellness Services, please fill out the Student Wellness Services External Referral Form. The form requires a licensed physician, nurse, psychologist, social worker or psychotherapist to complete it. Referral forms from any other sources will not be accepted at this time.

Please fax your completed form to 519-821-2308, along with all relevant supporting documentation attached.

Please note: If you are referring to the Health and Performance Centre (HPC), the external referral form is not required. Please fax your referral documentation directly to the HPC at 519-821-4007