©2019 by Wilp Si’Satxw. Proudly created with Wix.com

Assessment Packages & Information

The primary purpose of these assessment packages is for client referral to Wilp Si’Satxw Community Healing Centre. The assessment package may also be used for referring a client to another type of agency other than a treatment Centre as it is consistent with the information collected for other National Native Alcohol & Drug Abuse Program funded treatment centres.

Please download and fill out the appropriate form with your client, then email it to Vesta Williams at v.williams@wilpchc.ca. Alternatively, you can print the form and mail or fax it.

To download, click the appropriate link for yourself to open the form, then right-click on the form and select “Save As”.

ADULT REFERRAL & ASSESSMENT PACKAGE

ADDENDUMS - THESE MUST BE FILLED OUT TO ATTEND THIS CLINIC

CONSENT FOR TREATMENT

CONSENT FOR RELEASE OF INFORMATION

HOUSE RULES

YOUTH REFERRAL PACKAGE

All assessment and referral packages are filled out with the client and returned to Wilp Si’Satxw Community Healing Centre. The complete application, including pre-admission medical exam and T.B. test (only if T.B. test is positive then a chest x-ray is required), must be submitted before booking a treatment date. Clients will be booked as we receive their referral package and medical examinations by mail or by fax.

  • Applications are accepted by referral from any of the following sources:

  • Alcohol & Drug Counselors

  • Band Social Workers

  • NNADAP Workers

  • All Referral Workers

  • CHRs

  • Any Treatment or Recovery Centre


Please click here for guidance on writing the referral letter.