On-line Intake Forms are forwarded directly to an email, email@example.com
Please note: After the online form is filled out, your file will be placed in the order it was received to have initial contact, be assigned, and then appointment made. This may take up to 12 weeks for the process to be completed.
If you would like a PDF version of the forms, please email firstname.lastname@example.org
All information sent by email is confidential.
If you have any questions, please contact our intake staff directly at: 204-987-7095 or email@example.com