Nelson Community Services offers:

   counselling and support services
   outreach services
   parenting services
   housing support services
   shelter and support services at Aimee Beaulieu Transition House
   and Youth Support Services at  Cicada Place

YOU CAN SORT PROGRAMS & SERVICES USING THESE CATEGORY FILTERS

For more information about our programs,
our staff, or accessing our services,
please call us at 250-352-3504.
To make a referral or self-referral, please submit this form:

If you prefer to submit a paper referral, click here to download and print one.

The information contained in this form is encrypted when transmitted to NCS and will be retained in accordance with the Society’s privacy policies.

Program Referral Form
Referrals will be responded to within 5 business days. Note that some programs may have a wait list. 
Date of Referral:*

Is this a:

Client / Parent Name:*
Child / Youth Name (if applicable):
Date of Birth:
 / 
 / 
Second Child / Youth Name (if applicable):
Date of Birth:(2)
 / 
 / 
Client / Parent's Phone:*
-
Address:
Guardian Name (if applicable):
Guardian's Phone:
-
Referring Worker's Name:
Referring Worker's Organization:
Phone:
-
Email:

To which NCS program(s) are you making a referral?

Groups:

Reason for Referral (please indicate level of priority and/or risk — low, medium, high):*
Additional Comments:

Note: All referrals will be responded to within 5 business days. Please note that some programs will have waiting lists.

Type what you see: