Mind Space (formerly CBT Skills Groups) Referral Form

Mind Space Programs is physician-led and operated.  

As your colleagues, we are asking you to help us help you by ensuring the patients you refer are suitable and prepared for group-based learning.

We do not have an intake office or triage clinicians to screen patients. We depend on you.

Please review our inclusion and exclusion criteria to understand which patients will be likely to benefit from the program, as well as those who won’t, and who may end up demoralized from trying to participate in the wrong kind of service. 

As well, our administrative team is lean and we require referral forms to be filled out completely. 

The more skilled you become at selecting patients and completing the one referral form, the better able we will be to quickly and effectively support patients within your ever-increasing panel.

Thank you!