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Steps to Wellness CBT Group Therapy Self-referral

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If would like assistance to fill this form, you can meet with a Public Health Nurse at any Parenting In Ottawa Drop-ins.

If this is an urgent issue call:  

  • Emergency services: 911 
  • National Suicide Crisis Line: 988 
  • Mental Health Crisis Line: 613-722-6914 or if outside Ottawa toll-free at 1-866-996-0991.    

Connect with a registered nurse from Health811 for free, secure, and confidential health advice. Service is available 24/7 in English and French, with translation support also offered in other languages. Call 8-1-1 or visit Health811.ontario.ca. 

Connect with a Community Navigator from 2-1-1 for information about community programs and resources across Eastern Ontario. Helpline service is available 24/7 and in many different languages. Call 2-1-1 or visit 211ontario.ca. 

You can also come and see us at one of the Parenting In Ottawa Drop-ins 

Currently pregnant?
 
Can a phone message be left?
 

We also want to know how you are feeling, please answer the next few questions:

Over the last few two weeks, how often have you been bothered by the following problems?

Feeling nervous, anxious or on edge?
 
Not being able to stop or control worrying?
 
Worrying too much about different things?
 
Trouble relaxing?
 
Being so restless that it is hard to sit still?
 
Becoming easily annoyed or irritable?
 
Feeling afraid as if something awful might happen?
 


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