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If you or someone else's safety is at risk,
call 911 or go to your nearest emergency department.
Who can use this form?
This form is for anyone looking for non-urgent information, support or services related to mental health or addiction. If that is you, we are here to help.
What happens after you submit the form?
  • Our Mental Health and Addiction Intake Team reviews your request.
  • A team member contacts you to learn more about your needs.
  • Your concerns are heard and you will be connected with the right services and supports.
You do not have to answer every question. The most important information needed is:
  • How to contact you
  • The reason for the request
Step 1: Contact Information

Please provide your information — even if completing this form for someone else.

Name
Phone Number
Email
Primary Language Spoken
Can we leave a voicemail?
Can we send an email?
Review CS-PIER-0243
Step 2: Who Is This For?

Step 3: Briefly Describe Reason for Request
Step 4: Client Information (optional)
Name
Preferred Name
Date of Birth (MMM-dd-yyyy)
Age
Gender (optional)
Address
Postal Code
Phone Number
Email
Saskatchewan Health Card Number
By continuing with this tool, you accept the Saskatchewan Health Authority online terms of use.

If you wish to connect with the intake office in your area click here

 

Mental Health and Addiction Services (MHAS) Provincial Online Request for Service


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