These are forms to be completed for virtual intake or in advance of in-person intake.
NOTE: You must complete the Intake form before completing the GAIN Screener.
ADSTV Intake Forms
ADSTV Intake Form – Family or Significant Other
GAIN Screener (To be completed after Intake Form)
Addiction Transitional Case Management Intake
If you have been referred to services by an Addiction Transitional Case Manager (ATCM) at LHSC of STEGH, please visit our ATCM Page for intake information.
LiUNA 1059 and LiUNA 1089 EAP Intake
If you are a LiUNA Member and are seeking services with the Employee Assistance Program, please visit our LiUNA intake page.