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    Referral for Community Mental Health & Recovery Services

    PLEASE READ: For internal use only. Please make sure that the individual you are referring is aware of the various service options. 
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    For Release of Consent

    Name of Agency or Individual
    to share any information necessary within Breelove Counselling in order to secure services on my behalf. I understand that information will only be shared when necessary to meet the requirements for counselling therapy.
    By typing your name (client), you are providing consent for the release of information based on the request herein.

    Service Option
    Please note that these services are only offered in Moncton, NB with the exception of Individual Therapy

    Community Counselling Program: This is not a crisis program or emergency service. Fee - for -Service: Please visit the Access and Rates page of our website for booking availabilities. This service may be covered by your insurance provider, through victim services, or other funding means. Training and Facilitation: I will connect with you via email within 48 hours. Thanks for reaching out, chat soon!
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  • Home
  • About
    • Our Team
    • Community Counselling Program
    • First Responders Community Mental Health Services
    • Ask a Therapist
    • Contact
  • Our Approach
    • Trauma Recovery
    • General Mental Health
    • Specialized Approaches
    • Groups
    • Learning at lunch
    • Trainings
    • Supervision
  • Our Services
    • Pricing
    • Coverage
  • Special Projects
    • Community Mental Health and Recovery Services