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Use this form to refer clients for general counselling services. For mental health services, only clients with common mental health issues (e.g. Depression, Anxiety, PTSD) of severity levels 1 & 2, and who are following all necessary medical management can benefit from our services. CFSO will NOT call the client. Clients are asked to call CFSO to schedule appointment and bring this form along.

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January 2018

December 2017


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info@chinesefamilyso.com

3330 Midland Avenue, Suite 229, Scarborough, Ontario, M1V 5E7


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