Clinican Referral Form
Refer a patient for therapy services, by completing the form below
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 19 qualified and experienced therapists.
We strive to align with clients' therapy coverage (if applicable) and expedite patient appointments.
Get in touch
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.
55 Erb St. East (Suite 303), Waterloo Ontario N2J 4K8
(226) 752 - 8857