Fax to 1-289-203-1178 and an intake worker will contact your patient within 48 hours PhysicianReferralForm_blank.pdf
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Faxing’s fine, but please consider the benefits of joining TeleCBT’s Preferred Physician Network.

The most efficient & secure way for TeleCBT to share patient progress updates with you is c/o the end-to-end-encrypted TeleCBT App.

As a member of TeleCBT’s free-of-charge Preferred Physician Network, you will automatically receive the initial appointment confirmation, regular progress notes, and a final discharge summary upon completion of therapy. Notifications of updates to the patient’s file will be via email, but the documents themselves will be stored on TeleCBT’s encrypted server.*

To join TeleCBT’s Preferred Physician Network, email your request along with your contact details to

Privacy & security measures. Minimal patient personal information is required to use the TeleCBT system (only name and email), and that data is completely private between therapist & client. Video consultations are end-to-end encrypted and never recorded. All personal information is deleted when no longer required for service delivery or immediately upon account closure by the user. TeleCBT software complies with the Personal Health Information Protection Act (PHIPA), the Personal Information Protection and Electronic Documents Act (PIPEDA), and all equivalent Canadian health information legislation. TeleCBT’s AWS servers are physically located within Canada. TeleCBT payments are processed with PCI-compliant Stripe. TeleCBT’s technologies are regularly audited by a third party to ensure that privacy obligations are always being met. All TeleCBT therapists are registered by their respective provincial regulatory bodies and must adhere to their privacy and security regulations