Referral Form

If you require a referral, please fill out the online form below, or download the form and send by mail, fax, email or in person to the address indicated below:

Referral Form



    Please complete information below if different from client's information:

    Vision Statement

    Children and youth of all abilities will access opportunities, develop their potential and participate in their community.

    Mission Statement

    The Cochrane Temiskaming Children’s Treatment Centre (CT CTC) is committed to providing quality rehabilitation and other supportive services to Children and their Families in the Districts of Cochrane, Temiskaming and other geographical areas as deemed appropriate by the Board of Directors.

    Download Referral Form

    Please send by mail, fax, email or in person to 733 est avenue Ross Avenue East – Suite / Local 1 Timmins, Ontario P4N 8S8.