LHA Service Agreements
If you would like to review our service agreements, you may download a copy below. To download the form relevant to the services you receive, please click that form's name in this list, and a PDF copy of the form will open in a new tab.
Mental Health Services Agreement (PDF): For individual clients seeing a Psychologist, Clinical Social Worker, or Occupational Therapist
Couples Therapy Services Agreement (PDF): For all clients receiving couples therapy
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Student Mental Health Services Agreement (PDF): For clients whose services are provided by a Supervised Student
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Group Therapy Services Agreement (PDF): For clients receiving group therapy
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WCB Services Agreement (PDF): For clients whose services are covered by the Workers' Compensation Board
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CAF/VAC/RCMP Services Agreement (PDF): For clients whose services are covered by CAF, VAC, the RCMP, and other third-party payers
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Last updated: 1-Jun-21
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