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SJHH / Health Services/ Mental Health & Addiction Services/ Connect Mental Health and Addiction Outpatient Programs/ Connect Program Referral

Send a referral

Referral Process

If you are a patient:
If you are interested in accessing these programs, please contact your family physician for a referral or contact Connect for more information. The Connect intake team will take 4-6 weeks to review the referral and make a decision. Please note that St. Joe’s may collect additional health information from various sources to assess the referral and make decisions regarding your care.

If you are a provider:
Connect can receive referrals from providers electronically by email or by fax. While many Ontario hospitals are on the secure eHealth Ontario ONEMail network, most non-hospital providers are not. It is your obligation to ensure that your patient consents to transmission of their information electronically, and to determine whether email or fax is the most appropriate method for transmission of your patient’s sensitive health information. Please note the Connect intake team may take up to 4-6 weeks to review the referral and make a decision. 

To access the referral form, please see disclaimer indicated below

Disclaimer * By checking this box, I acknowledge the above noted risks of electronic communication and agree to proceed with the electronic communication of this referral form.

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Having trouble accessing the Connect Referral Form?

The Connect referral form is a fillable PDF document. Please be aware that this form will not open in Chrome or Safari as these web browsers do not support fillable PDF forms. Adobe Reader is required to have on your computer to allow you to open.

If you are having trouble opening this referral form, please follow the steps below.

1)      Ensure you have the latest version of Adobe Reader installed. It can be downloaded here.

2)      If your web browser will not display the PDF file, right click on the link below and save the document to your PC. Then open the file via Adobe Reader.

Other options include:

  • Changing your Chrome browser settings to download PDFs instead of attempt to open them. Instructions found here.
  • Install the Adobe Acrobat Reader Extension to Chrome found here from the Chrome Web Store.
  • For Chrome, Firefox or Safari reference the Adobe Reader Guide on how to configure your browser to use the Adobe PDF plug-in to open online PDF files.
  • Download the flattened Connect Referral form here. Once you open the file, please print, complete by hand and fax through.


Phone: (905) 522-1155, Ext.36499
Fax: (905) 389-3815