Referral Inquiries

FCHC is dedicated to ensuring that patient or employee has access to a personalized recovery process, a therapeutic community, and ongoing expert care to prevent relapse. Make a professional referral for treatment today and help that person receive the support they need.

First Name*

Last Name *

Email *

Phone Number

Title/Profession

Organization

Province of residence

How did you hear about us?

What type of treatment are you looking for?

Are you inquiring about treatment specifically for a veteran, member of the armed forces, first responder or medical professional?

Yes No

Would you like to provide your patient's information at this time?

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Please contact me with more information about treatment options. My inquiry will remain confidential. *