Mental Health Inpatient Service:

Adult Mental Health: Description | Referral form 
Forensic Mental Health: Description |No referral form
Seniors Mental Health: Description | Referral Form

Mental Health Outpatient Service:

Collaborative Mental Health Service: Description | Referral form

Community Treatment Order Program: Description | Referral form

Dual Diagnosis Consultation Outreach Team: Description | Referral form 

ECT & TMS: Description| Referral form

Ketamine: Description | Referral Form

Mood Disorder Outpatient: Description | Referral form

Regional Outreach: Description | Referral form 

Seniors Mental Health Ambulatory Services:  Description | Referral form

Seniors Mental Health Outreach: Description | Referral form

South Eastern Ontario Addictions & Mental Health Service Access:  Form 

Once you have received a referral from your family doctor or the emergency room doctor, it should be directed to one of the intake coordinators:
Lynn Reid and Giselle Hastie-Talledo, Intake Coordinator

Adult Mental Health Program 

Johnson 5, Hotel Dieu Hospital, Kingston, ON  K7L 5G2
Phone: 613 544-3400 x 3700
Fax: 613-548-6032
Email:  AdultMHIntake@kingstonhsc.ca  

Addiction and Mental Health Services - Kingston, Frontenac, Lennox, and Addington 

Central Intake - Providence Care Hospital (PCH)

752 King St. W., Kingston, ON  K7L 4X3 
Fax:  (613) 548-5995

Queen's University Online Psychotherapy Lab (QUOPL)

Self-Referral Form | Clinical-Referral Form