Getting Started

The Canadian Mental Health Association Waterloo Wellington (CMHA WW) offers a wide range of services for those seeking supports for Mental Health and Substance Use Health concerns.

If you are in immediate crisis please do not fill out these forms: Call 1-844-HERE247 (1-844-437-3247) or attend your local emergency department.

If you are ready to get started, you will find forms below.

In which of Canada's official languages are you most comfortable receiving your healthcare services?

Please note that all of our programs/services are voluntary. The individual you are completing this form for and/or being referred, must consent to receiving services from us.

You have indicated that the individual does not consent to services with us.

The person being referred must be aware and agreement with you completing this form on their behalf and willing to engage in service. You cannot proceed at this time but we welcome you to contact our office directly at 1-844-437-3247 with any questions you may have.

Please note that if you are a family member or friend of the individual, we do offer supports/services for you, to help you understand how you can support the individual. If you are interested in these services please complete the Services For Self form.