As a health services provider, Pine River Institute is subject to the Personal Health Information Protections Act (PHIPA), which governs the collection, use and disclosure of personal health information (PHI) in Ontario.

By clicking on the “Complete Intake Form” button below, you agree to allow Pine River Institute to collect, use and disclose the PHI provided in this application to determine your eligibility for the Pine River Institute program and identify your needs. Information collected may also be used as a basis for planning and providing care and treatment services, for evaluation, statistics and to meet legal and regulatory requirements.

Complete Intake Form