Notice: You may be eligible to receive up to 22 hours of counselling each year through a program called NIHB. Call our Office Auntie at 1.833.277.5678 to learn more.

Aanii,

Please review and select the option to connect your client with Noojimo Health.

Option 1 - Send a client referral request.

If you are from an organization and would like to refer a self-identified Indigenous client to receive counselling services from Noojimo Health, please fill out the form below.

Noojimo will contact this referred client within 48 business hours of our operating schedule. You as the referrer will receive an email confirming your submission.

Option 2 - Schedule an appointment now.

Schedule an appointment for your client with a Noojimo care provider here.

Client Information

Client's First Name:

Client's Last Name:

Province client resides in:

Client's Email Address:

Client's Phone Number:

Date of Birth (YYYY-MM-DD):

Referrer Information

Referrer's Name:

Referrer's Email Address:

Referrer's Phone Number:

Organization name:

Any helpful notes to Noojimo regarding this client?:

In the past 12 months, has the client received counselling elsewhere through NIHB? NIHB is a cumulative program, therefore each client has access to 22 hours annually from counselling providers collectively.

Billing Information

Who should Noojimo bill for this client's appointments?  (NIHB or Partner Organization?)

If partner organization, how many sessions can be covered?

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