Clinician Referral Form

Refer a patient for therapy services, by completing the form below

Contact Us

Referral requests will be processed within 24 hours during the week or by Monday if submitted over the weekend. Please note that the Patient Consent Section of the referral form must be completed in order for us to contact your patient. For confidentiality purposes, please indicate whether the patient consents to Trillium leaving a voicemail.

Trillium's Evidence Based Counselling Services

CBT Therapy, EMDR Therapy, Trauma Therapy, Acceptance and Commitment Therapy (ACT), DBT Therapy, Emotionally Focused Therapy (EFT), Mindfulness Therapy, Narrative Therapy, Solution Focused Therapy, Play Therapy, Attachment Focused Therapy (DMNS), Gottman Method Couples Therapy.

Anxiety, Depression, Trauma, PTSD, Stress, OCD, ADHD, Relationship Issues, Perinatal and Postpartum Mental Health, Body Image & Eating Disorders, Youth Counselling, Life Transitions, Sexual Assault, Grief, Suicidal Ideation, Boundary Setting, and others.

Based in Kitchener-Waterloo, our therapists offer professional counselling services both in-person and virtually throughout Ontario.

Team of 16 qualified and experienced therapists.

We strive to align with clients’ therapy coverage (if applicable) and expedite patient appointments.

Evidence Based Counselling Services

Cognitive Behavioural Therapy (CBT Therapy) is a mental health therapy focused on challenging ‘cognitive distortions’ to build coping strategies for current problems. 

CBT will give you the tools and teach you methods and skills that have been clinically proven to be helpful for a wide range of day to day and longer term mental health challenges.  

Anxiety, Depression, Trauma, PTSD, Stress, OCD, ADHD, Relationship Issues, Perinatal and Postpartum Mental Health, Body Image & Eating Disorders, Youth Counselling, Life Transitions, Sexual Assault, Grief, Suicidal Ideation, Boundary Setting and others.

CBT Therapy, EMDR Therapy, Trauma Therapy, Acceptance and Commitment Therapy (ACT), DBT Therapy, Emotionally Focused Therapy (EFT), Mindfulness Therapy, Narrative Therapy, Solution Focused Therapy, Play Therapy, Attachment Focused Therapy (DMNS), Gottman Method Couples Therapy

Located in Kitchener – Waterloo our therapists provide clients professional counselling services in-person and also virtually across Ontario.  

Helpful to have a range of professional designations to match a clients therapy coverage (if applicable)