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Service Information

Service:

Humber River Hospital - Services Intake
Organization: Reconnect Health Services
Description:

Request a consultation with a member of the Reconnect Intake team.

Referral Options:

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Mental Health and Addiction services

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Registrant Information

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Is an interpreter required?

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Health Information

Relevant Medical History:

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Additional Information

Reason for Referral:

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By clicking "Finish", you agree to send this personal information to Reconnect Health Services online.

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Notifications:

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

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Submission complete

The information has been submitted to Reconnect Health Services, but you have some steps left:

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Summary

Reference #: -

Registrant:
Organization:

Reconnect Health Services

Service:

Humber River Hospital - Services Intake

Inquiry Phone:

1 (416) 248-2050

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

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