Referral Form

If you would like to make a referral for a psychoeducational assessment, please download the electronic form below and email the completed form to info@capitalsp.ca. 

 Please note that at this time we are unable to accept referrals for one-on-one skills teaching/counseling due to a lengthy waitlist.

New referrals are reviewed weekly and one of us will be in touch as soon as possible. 

Please note that this form does not work on mobile devices and you may have to click on "Enable Editing" to enter your information.