Service Information

Men's Counselling Link
Organization: Family Services of Peel
Description:

Offers men immediate support, counselling, and referrals to community resources. Whether in crisis, feeling overwhelmed, or want to make positive changes, the helpline offers a safe space to take the next step.



Client Information

(OPTIONAL) Provide the code from your records system that identifies this patient. This may be useful when the recipient agency needs to follow up with you

This field is required
This field is required
Email (Confirmation and reminder emails will be sent here)
This field is required

Primary Phone*

This field is required

Secondary Phone

This field is required
This field is required
This field is required
Parent/Guardian
This field is required

Email

This field is required

Primary Phone

This field is required

Send confirmation, change & reminder messages to < name> < email>

Submission complete

The information has been submitted to Family Services of Peel, but you have some steps left:

A confirmation message will be sent to - -

Summary

Reference #: -
  • Registrant:
  • Organization:
    Family Services of Peel
    Service:
    Men's Counselling Link
    Inquiry Phone:
    1 (905) 453-5775

Tip: Referrals can be viewed by navigating to referrals in the top menu

Cancel