CMAP Health is OPEN and committed to offering uninterrupted, secure services through remote audio/ video platforms as well as in-person at our offices.

Call, e-mail or book with a therapist directly online from our website.

Contact Us for Help
118 Ochterloney Street, Dartmouth, Nova Scotia B2Y 1C7 (FREE PARKING AVAILABLE AT OTTAWA LOCATION)

Psychiatry Consultation Referral Form

REFERRAL SOURCE

PLEASE NOTE: IF YOU ARE NOT THE CLIENT’S GP AND DO NOT CONSENT TO FOLLOW-UP CARE, THE REFERRAL WILL BE DECLINED

CONSENT

CLIENT INFORMATION

REASON FOR THE REFERRAL