Mental Health & Addictions Forms

Requisition Forms

Name	Number	Language
Outpatient Psychiatry Clinic Consultation	RHC 2209	English

Name	Number	Language
Regional Mental Health Central Referral Form	RHC 817	English
Central Intake Referral Form	RHC 1646	English
Community Crisis Outreach Referral Form	RHC 1659	English
Developmental Disabilities Service Referral Form	RHC 1938	English
Pediatric Acute Mental Health Admission Referral Form	RHC 2129	English
Outpatient Specialized Geriatric Services Referral Form	RHC 2697	English
Forensic Inpatient Service for Adult Women (Hummingbird Lodge) Referral Information	RHC 3049	English
ACTT Referral	RHC 3154	English
Child and Adolescent Psychiatry Outpatient Consultation Referral Form	RHC 3337	English
Eating Disorder Program Referral Form	RHC 3428	English

Name	Number	Language
Judges Handbook A Summary of Important Features in Part XX.I of the Criminal Code and Considerations about Fitness to Stand Trial and Criminal Responsibility for Court Justice Officials in the Northeast Region. Third Edition, Revised September 2017	No RHC #	English