Client Self-Referral Form

Please fill in the following:

Oncology and Survivorship

Individual Psychotherapy

Couples Therapy

Group Support

CALM™ Palliative Psychotherapy, Advanced Care Planning

Nutrition

Yoga

Breathwork

Meditation and Somatic Healing

Movement and Dance

Thank you, we'll be in touch!

Our receptionist will call you to set up an OHIP-covered consultation with a medical oncologist to review your cancer diagnosis and journey.

We're excited to welcome you to the Eir Centre!

Get started today before this once in a lifetime opportunity expires.