Nisga’a Valley Health Authority Mental Health Department

Intake Form

Our staff will review your information and connect you to the right person and program for your needs. All information is 100% confidential.

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What is the issue you need help with?

• Grief
• Trauma
• Addiction
• Loss
• Domestic Abuse
• Other

Please choose all or any of the above that apply.

Description of Need

Please provide a brief description of your challenge and what you are looking for (this is not required, but will help us place you with the best person.

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