Self Referral Form
NOTICE: We are currently experiencing issues with our online referral forms.
If you want to make a new referral or follow up on a previously submitted one, please contact us at [email protected] or 1-888-495-5855.
We are working to resolve this issue as quickly as possible and apologize for any inconvenience.
Are you or a loved one experiencing memory loss?
Do you want more information on Mild Cognitive Impairment or dementia?
We can help.
Call or visit the office in your area.
Elgin
450 Sunset Dr. Suite 229
St. Thomas, ON
N5R 5V1
519-633-4396
Middlesex
435 Windermere Rd.
London, ON
N5X 2T1
519-680-2404
Oxford
575 Peel St.
Woodstock, ON
N4S 1K6
519-421-2466
