Please, before sending us a referral, take some time to review the guidelines for a successful referral. Please be advised that incomplete forms will not be processed.

Inclusion Criteria for Referral Submission

Before completing and submitting a referral, please ensure the individual meets the following inclusion criteria:

1. Age Requirement – The individual must be 18 years or older.
2. Mental Health Diagnosis – A confirmed mental health diagnosis is required.
3. Active Follow-Up – The individual must be actively engaged in follow-up healthcare (mental and physical) with a qualified healthcare provider outside of the CRRC Recreation Therapy service.
4. Rehabilitation Readiness – The individual must be open to and able to benefit from rehabilitation services.
5. Engagement & Commitment – Must demonstrate a willingness to participate in services and actively work towards recovery.
6. Voluntary Participation – This is a voluntary program, so please ensure the individual is genuinely interested in participating.
7. Goals & Participation – The individual should have an interest in exploring personal goals within the program and be committed to following through. They must also be open to engaging in structured therapeutic activities or programs.
8. Updated Contact Information – Ensure that the referral includes current and accurate contact details.
9. Complete Referral Form – The referral form must be fully completed with all required details to avoid delays in processing.
10. Medical Considerations – Considering the nature of the physical activity-based program, clearance from a physician or nurse practitioner may be required to ensure safe participation.
     

Checklist

For a referral to be successfully processed, please consider the following:

• Check the inclusion criteria
• Complete Referral Form –Please note that incomplete referrals will not be processed.
• Updated Contact Information – Ensure the patient’s contact details are accurate and up to date, especially if they are being discharged soon.
• TR Goals – Clearly specify the patient's expressed goals and the services you are seeking to explore (e.g., social, physical, cognitive, spiritual, and affective domains). Indicate in the Presenting Concerns / Referral Goal section of the form, that the referral is for CRRC.
• Authorization for Disclosure of Personal Health Information – Required for necessary follow-up care or for physical activity clearance. Please consider:
  • The form must be complete and legible.
  • The full name of the family doctor should be written on the first line to authorize disclosure to CRRC.
  • The form must be free of amendments and signed by the patient.
• Completed PAR-Q – Ensure the Physical Activity Readiness Questionnaire (PAR-Q) is fully filled out.

Ensuring these criteria are met will help facilitate a smooth referral process.

Download Referral Package