Surrey Clinic location:
Intake Form - Surrey Clinic
Please complete the following intake form to initiate the referral process. Upon receipt, our clinic coordinator will contact you by email (unless you request differently) to complete a referral form. Once this referral form is complete and received by us, you will be placed on our waitlist.*Please note our current wait times at the Surrey Clinic: For ASD Assessments, there may be a 6 month wait, for Psych-Ed Assessments, there may be a 6 month wait, for Counseling an approximate 6 month wait is likely. * Please note, we cannot guarantee the confidentiality of information transmitted through e-mail including the intake form. Please be aware of this limitation when contacting us.