Physician Information

Referring to STG La Ronge Clinical Services

Referrals

Referrals can be faxed to our confidential medical fax line (306) 900-6700. Please fax a printout of the EHR and relevant information related to the presenting symptomology, recent medication management, services requested, and reasons for referral. You can also complete the online form below.

Do not refer to STG La Ronge for:

Couple and Relationship / family-marriage counselling

Substance Abuse & Addictions (unless comorbid)

Psychosexual Dysfunction

Forensic and Custory-related Matters

FAST Program Information

STG La Ronge is an approved provider for Métis Nation Saskatchewan (registered citizens only), Non-Insured Health Benefits (NIHB) for mental health counselling, and Victims Services Saskatchewan. Psychotherapy and/or counselling in Saskatchewan is often not covered by many health insurance or benefit packages. Some insurance benefits reimburse psychological assessment. Unless otherwise stated, services are private pay; clients are responsible to determine reimbursement through health insurance or benefit package, unless they are eligible for NIHB or Métis Nation funding.

Psychological Assessment

Referral for Psychological Assessment through an STG Registered Psychologist is possible from September to June. More details can be found on this page.

Mike White, Ph.D.

Registered Doctoral Psychologist

Chris de Feijter, Ed.D., MACP.

Registered Psychotherapist (Q)

Canadian Certified Counsellor

Online Referral Form for Physicians / NPs / Mental Health

Physician Referral Form

For use by physicians, Nurse Practitioners and Mental Health Providers only. We prefer you faxing an EHR printout with reasons for referral and symptomology, recent medication management and essential history. The STG confidential medical fax: (306) 900 6700. Please note that any medical information entered in the form below might not be compliant with your organization's security and data processing policies.

Patient First Name

Patient Last Name

Date of BIrth (YYYY/MM/DD)

Patient's Best Phone Number

Patient's Best Email

NIHB - MN-S - Victim Services

FULL Treaty Card number (for NIHB)

Brief Referral Reason

Kind of Services Requested

Presenting symptoms

Diagnosis

Physician / NP / Mental Health Provider Full Name

Physician / NP / MH Provider Phone number

By submitting this form, I indicate that the above information is correct. I also obtained written or verbal consent from the patient to submit this referral. If you wish to share more details, please fax a printout of essential information to the medical fax number (306) 900-6700.

SUPPORT FOR YOURSELF OR YOUR CHILD

Schedule FREE Intake Session

I strongly believe that no one should be pressured to decide whether or not they want to work with a therapist before meeting them. I will see you (and your child) at no charge to make sure we are a good fit for each other. Every therapist works in their own unique way so I want you to be certain you feel comfortable with the way I work. The initial meeting is not a therapy session; it’s designed to be low-key and low-pressure with no “hard sell” at the end.