Referral Form/Central Intake
Click here for the referral form.
In alignment with the Ministry of Health, the NE LHIN has implemented a Central Intake to serve as the point of entry for all NEJAC referrals. Your primary care provider will send your referral to Central Intake, where it will then re-directed to your nearest NEJAC. You can still choose to be assessed at any of our 4 NEJAC sites.
You will be contacted for an appointment with the APP within 2-4 weeks of receiving your referral.
If you have any questions or would like to check on the status of your referral please call 1-855-653-7966 or email email@example.com.