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Referral Form

Ready to connect with PALS for support? Our referral process is simple and straightforward. Whether you’re a participant, family member, support coordinator, or health professional, you can submit a referral form to help us understand your needs and goals.

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Once received, our team will review the information, get in touch to discuss next steps, and work with you to explore the best supports available. We’re here to make the process easy, welcoming, and person-centred—every step of the way.

Date of Birth
Day
Month
Year
Gender
What Service can we assist with?
How is your Plan Managed
Is the Participant making this referral?
If No, do you have their consent to make this referral?
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