Application and Referral Forms
To be considered for admission to our Adult and Family programs, the following forms must be completed:
Men's, Women's and Family Addictions Treatment Application Form
Medical Clearance for Treatment
NOTE: To view these forms, you must have Adobe Reader installed.
Please forward the completed forms to:
Behavioural Health Foundation
Box 250, 35 ave de la Digue
St. Norbert, MB R3V 1L6
Fax: (204) 269-8049
If you require assistance in completing these forms, or have questions concerning admission to our Men’s, Women’s and Family programs, please contact us at (204) 269-3430 or email info@bhf.ca.
