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Intake Form 

All the services provided are based on peer-to-peer support model. We do not provide counselling, crisis support or therapy. We offer individual grief support sessions and various grief peer support groups. 

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If you are seeking Clinical Counselling Support, please call York Region Support Services: 905-898-6455. If you require immediate services, please call COPE: 1-855-310-2673, dial 911 or visit your nearest hospital emergency department. 

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Children and Youth under the age of 18 will require a parent or guardian to call the office to start the intake process and provide signed consent form (provided). 

  • We currently offer services only to adults over the age of 18

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The questions regarding your identity is used for statistical purposes for our funders and to identify service gaps in our community. We remain committed to ensuring a fully inclusive, safe space for all members of our community.   

Please complete the form below to have your initial 1:1 support session scheduled. A member of our Bereaved Families of Ontario - York Region Team will contact you within 3 business days to schedule your 1:1 session. 

Bereaved Families of Ontario - York Region
Intake Form
Preferred Pronouns
What Type of Support Are You Looking For? (Select one)
Is There Anything You'd Like Us To Know That Could Affect How We Support You? Required
I give permission to be contacted about group sessions, recieve BFOY-YR electronic newsletter, program updates, and related events through the following methods: Required

Thank you for completing the Intake Form. We will get back to you within 3 business days.

Call Us (905)898-6265 or Email programs@bfoyr.com
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For immediate support, call 1-855-310-2673 (COPE) or 911
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