Chrysalis Society

Refer A Client

Referral Package

If you are a Referring Agent (Addictions Counsellor, Social Worker, Doctor, Psychiatrist, Outreach Worker, Counsellor, Therapist, or any other related Professional) and would like to refer a client, please use the referral package that includes application forms, policies and guidelines.

New Dawn Referral Package (PDF, 16 pages, 3 MB)

New Day Referral Package (PDF, 14 pages, 3 MB)

We ask that the Referring Agent complete the forms, and not the client.

* Please Note: your client will not be wait-listed until she has spoken directly with our Office Staff at least ONCE following your referral submission (if she has not already done so).

Prior to submitting your referral, thank you for ensuring your client has read and understood the Policies & Guidelines for the program she is waitlisting for.

Support Our Organization Canada Helps

Helpful Resources

Resource Referral:

Treatment Centres:

Licensed Support-Recovery:

Other Women's Resources:

Life-Coach/Anger Mgt:

Life & Relationship Coach:

Community in Recovery: