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Open Doors for Lanark Children & Youth

Providing Person-Centered Mental Health for Children & Youth

  • About Us
  • Services
    • Quick Response Services
    • Talk-in Services
    • Brief Counselling Services
    • Extended Counselling Services
    • Intensive Family Services
    • Intensive Youth Services
    • Youth-in-Transition Services
    • Access to Specialized Services
  • Client Info
    • Client Info & Forms
    • Get Appointment
    • Visit Experience
    • Send Confidential Documents
    • FAQ
  • Resources
    • Partners & Supporters
    • Job Posting
    • Caregiver Advisory Council
  • Upcoming Events
    • Peer To Peer Support Group
  • Contact Us
  • Donate Now

Client Info & Forms

Wondering how we work and what you can expect?

We are funded by the Ministry of Health and the Ministry of Children, Community and Social Service and as a result, all services are without a fee. We have offices in Smiths Falls, Carleton Place and Perth. Open Doors is an accredited children’s mental health agency (Canadian Centre for Accreditation 2021).

first visit experience

Client Consent Forms

We offers our patient form(s) online so they can be finished it in the comfort of your own home or office.

Consent for Service
consent to Disclose and Obtain Information
Consent to Transmit Information VIA Text
CUstody and Access Information

New Client Referral Forms

Anyone can make a referral for a child or youth under the age of 18 – self, parents or guardians, family doctors, schools or other service providers – who feel, in discussion with the youth or family, that the child, youth or family would benefit from our services. A doctor’s referral is not required.

Child Referral

 A parent or caregiver referring a child

Self RefeRral

A child or youth making a self-referral

Third Party

A referral from physicians, schools or other 3rd party referrals

Need to send us confidential documents?

Use our secure portal to ensure documents are sent securely!

send Confidential documents

Have questions?

Our FAQ page has answers to the most common questions. If you don’t find what you are looking for there please send us an email at admin@opendoors.on.ca

visit FAQ’s Here
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Copyright © 2023 ·Open Doors for Lanark Children & Youth