Make a Referral

BY PHONE:
Burnaby residents - phone our Burnaby office at 604-436-9449.
New Westminster residents - phone our New Westminster office at 604-520-0009.

BY FAX:
Click on the name of the program below to download the specific Referral Form (PDF version) for that program, print and complete the form and then...
Burnaby residents - fax Referral Form to our Burnaby office at 604-436-1990.
New Westminster residents - fax Referral Form to our New Westminster office at 604-520-6100.
(PDF versions require the free Acrobat Reader from Adobe. Download Acrobat Reader.)

If you are interested in one of our Groups or other Programs please call one of our offices.

Our Burnaby office is wheelchair accessible.

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Program Referral Guide
Click program name to download Referral Form for that program.

Counselling Program Name	Referral Source	Referral Criteria	Program Description	Length of Program
C & Y - Child and Youth Counselling	Mental Health	Burnaby or New West resident. Children and youth 18 years of age and under and their parents.	Counselling for child and family (excluding sexual abuse issues) exhibiting mental health concerns.	Up to 12 sessions
Family Counselling	Open	Burnaby or New West resident. Children and youth 18 years of age and under and their family.	Long term individual and/or family counselling for a range of family issues. Can involve sessions with the entire family or any combination of family members.	Up to 12 sessions
High Risk Youth Counselling Program	MCFD	Burnaby or New West resident. Youth 18 years of age and under.	For teens involved in high-risk behaviour who may not be suitable for other programs (i.e. consistency may be an issue). May involve liaison with MCFD Integrated Youth Team. Appointments may be at MCFD, Cameray, or outreach.	Up to 12 sessions
Long Term Sexual Abuse Counselling	Open	Burnaby or New West resident. Children and youth 18 years of age and under and their parents. Historic sexual abuse issues with clear disclosure reported to appropriate authorities.	Long term sexual abuse counselling for historic sexual abuse disclosure.	Up to 12 sessions
SHIP - Sexual Health Intervention Program	Open	Burnaby or New West resident. Children 12 years of age and under and their parents. Displaying sexually intrusive behaviour. No past history of sexual abuse.	Long term Sexual Health Intervention Program. Long term counselling for sexually intrusive children (children exhibiting sexual behaviour problems) 12 years of age and under and their families and/or consultation with parents.	Up to 12 sessions
Short Term Family Counselling	MCFD	Burnaby or New West resident. Children and youth 18 years of age and under and their family. Experiencing situational crisis.	Immediate short term counselling for families in crisis experiencing situational problems not an ongoing lifestyle (i.e. family break-up, physical abuse, death, etc.).	Up to 8 sessions
Short Term Sexual Abuse Counselling	Open	Burnaby or New West resident. Children and youth 18 years of age and under and their parents. Recent clear sexual abuse disclosure reported to appropriate authorities.	Immediate short term counselling for child/youth following recent sexual abuse disclosure.	Up to 8 sessions
Trauma Counselling	MCFD	Burnaby or New West resident. Children and youth 18 years of age and under and their family.	Long term counselling for trauma issues (i.e. physical abuse, witnessing violence).	Up to 12 sessions
Other Programs	Referral Source	Referral Criteria	Program Description	Length of Program
CVSS - Child / Youth Victim Support Service	Open	Burnaby or New West resident. Children and youth under 19 years of age. Going to court as witness or victim of abuse.	To provide service to children/youth who are victims of child abuse/assault including those who may choose not to be involved with the criminal justice system.	As needed
Parent Support Program	Open	Burnaby or New West resident. Young parents with a child aged newborn - 5.	Prevention and early intervention services to parents and parents-to-be. Individual counselling and group training modules.	Variable