How to Apply
Referrals are accepted for First Nation/Inuit Families by either self referral or any of the following agencies.
- Parents
- Teacher or School Administrator
- Doctor
- Local Police or First Nations Constable
- Community Worker
- Priest, Chaplin, Church Leader or Spiritual Leader
- Health Worker
Intake Procedures
The procedure includes:
Download:
Confirmation of space will only be made upon receipt of all referral forms.
If the family changes their mind about treatment, please telephone Charles J. Andrew Youth Treatment Centre as soon as possible.
Families who have submitted referral forms are not necessarily guaranteed acceptance. Confirmation of acceptance into the program will be made by telephone and letter.
- Assessment Questionnaire
- Medical Assessment
- Nutshimit Liability Waiver
- Liability Waiver
- Consent to Medical Treatment
- Education Consent
Download:
- CJAY Intake Package for Child Dependants (PDF)
- CJAY Intake Package for Primary Participant (PDF)
- CJAY Intake Package for Spouse (PDF)
Confirmation of space will only be made upon receipt of all referral forms.
If the family changes their mind about treatment, please telephone Charles J. Andrew Youth Treatment Centre as soon as possible.
Families who have submitted referral forms are not necessarily guaranteed acceptance. Confirmation of acceptance into the program will be made by telephone and letter.
Youth Solvent Addiction Committee
Canadian Accreditation Council
Thunderbird Partnership Foundation
Indigenous Services Canada