Care Provider Coaching Referral

At this time, primary care providers (family doctors, nurse practitioners, psychiatrists) and secondary school counsellors can refer individuals to the BounceBack® Coaching program. The primary referrer retains clinical responsibility for the individual, meaning they have the necessary training to assess suicide risk, determine next steps, and ensure that appropriate follow-up and treatments are provided.

If you work in a field outside of the listed primary care providers above and support individuals with their health and wellbeing, you may be eligible to become a secondary referrer. Read more about the process here

Complete the BounceBack® referral form to ensure your client meets all eligibility criteria:

  • 15 years or older
  • Has mild to moderate depression (PHQ-9 range of 0-21) with or without anxiety
  • Ensure client is not at risk to harm themselves or others; not significantly misusing alcohol or drugs; does not have a personality disorder (19+); has not had manic episodes or psychosis within the past six months; and has sufficient concentration and motivation to engage in the program
Submit Online Form Download Referral Form