Make a Referral

Make A Referral

This form is used to determine if the referral meets admission criteria. If determined to meet criteria, a full referral packet will be required.

“Imagine the Possibilities is temporarily suspending all admission activity in response to the COVID-19 outbreak and related guidance from government and public health officials. Referrals submitted will be placed on a waiting list and analyzed for appropriate admission decisions once the Public Health Disaster Emergency has been lifted.”

Make a Referral

Step 1

Have you spoken to an Imagine Staff about this referral? *