tenacity psychological health services

Referral Form

Thank you for considering Tenacity for your mental health needs. This referral form is designed to provide us with essential information about relevant contextual factors that impact psychological testing/ therapeutic services. As mental health professionals, we understand that seeking psychological support can be a difficult and vulnerable process. We assure you that all information provided on this form will be treated with the utmost confidentiality and used only for the purpose of providing appropriate care.

Our team of experienced and compassionate mental health professionals is committed to providing the highest quality of care to your client, and we appreciate the opportunity to work with you in achieving their mental health goals.
Tenacity Psychological Health Services
Relationship with potential client:
Do you have consent to share identifying client information?
Referral for:

If for Psychological Testing

Please check one:
Evaluation of:

Presenting Concern

Please check all that apply and describe in your own words questions that you need to have answered (please be as specific as possible):

Please contact Dr. Lyndsey Silva at (587) 585-0341 or use our contact form

Privacy Policy

Tenacity Psychological Health Services values your privacy and is committed to protecting your personal information. We collect personal data, including names, phone numbers, email addresses, addresses, payment details, and health information, through our secure, HIPAA-compliant software (Jane), our website forms, or direct communication. This data is used solely for service provision unless you opt into marketing emails. We do not share personal information with out consent to third parties unless required or permitted by law (e.g., in cases of risk to self or others, child protection concerns, or legal obligations). SMS consent or phone numbers collected for SMS purposes will not be shared under any circumstances for marketing purposes. Jane is a privacy-compliant practice management system that meets the requirements of applicable legislation, including HIPAA in the United States and PIPEDA in Canada. All data is encrypted in transit and at rest, and securely stored on servers located in Canada. Access to information within the platform is restricted based on user roles, and audit logs are maintained to ensure accountability. The platform also allows for secure messaging, encrypted telehealth sessions (which are not recorded), and the collection of electronic consent and intake forms. We take care to use only secure, privacy-respecting tools to protect your personal health information, and we encourage you to let us know if you have any questions about how your information is stored or shared.