For physicians, lawyers, case managers and rehab providers

Refer a client after a car accident.

Fill in our MVA referral form on your computer and email it to us. Our office contacts the client to arrange next steps, and lets you know once we have been in touch.

Download the MVA referral form Call (647) 983-6940

Fillable PDF, 2 pages · Not for emergencies

How to send a referral

1. Fill in the form

Download the form and complete it on your computer, then save it. A typed signature is fine. Fields marked * are needed for us to confirm the claim with the insurer.

2. Email it to us

Send it to contact@mindfulconnectionstherapy.ca. Please put a client code or initials in the subject line, not the client’s full name.

3. We contact the client

Our office reaches out to the client to arrange next steps, and confirms with you once we have been in touch.

Please make sure the client has agreed to the referral before you send it. Lawyers: please attach the client’s signed consent or direction so we can speak with your office about the file.

Not a car accident referral? No form needed. With the client’s consent, email us or call (647) 983-6940, or the client can book a free 15-minute consultation themselves.

What we help with after a car accident

Therapy: driving and travel anxiety, trauma and PTSD symptoms, low mood, sleep problems, coping with pain, and the emotional side of concussion and brain injury.
Psychological assessments, by our psychologists, Dr. Rex Jose Joseph, Ph.D., C.Psych., and Dr. Sadet Yilmaz, C.Psych., including psychological driving evaluations and reports for insurers, physicians and legal counsel. Assessments are online only; the practice assigns each assessment.
Languages: English, Farsi, Russian, Mandarin, Hindi and Punjabi. Therapy is in person at our North York office or online anywhere in Ontario.

Accident benefits claims

Billing and working with the client’s team

Licensed by FSRA and enrolled with HCAI. For an open accident benefits claim, we prepare the treatment and assessment plan (OCF-18) and bill the auto insurer directly. Approval and limits are set by the insurer and the client’s claim, not by us.
We work with the client’s team. With the client’s consent, we keep in touch with their lawyer, case manager, occupational therapist and physician.
No open claim? Clients can use extended health benefits or pay privately. Details are on our fees and insurance page.

Therapy after a car accident Psychological assessments

Common questions

Does the client need a referral to start? +

No. Anyone can book a free 15-minute consultation with us directly. The referral form is for professionals who would like our office to reach out to the client for them.

Do you bill the auto insurer directly? +

Yes. The practice is licensed by FSRA and enrolled with HCAI, so for clients with an open accident benefits claim we prepare the treatment and assessment plan (OCF-18) and bill the auto insurer directly. Approval and limits are set by the insurer and the client's claim, not by us.

Can the client be seen in person or online? +

Therapy is in person at our North York office or online anywhere in Ontario. Psychological assessments are online only, by secure video. Sessions are available in English, Farsi, Russian, Mandarin, Hindi and Punjabi.

What if the client is in crisis? +

This form is not for emergencies. If the client is in crisis, they should call 911 or go to the nearest emergency department. They can also call or text 988.

Mindful Connections Therapy

Questions about a referral?

Call us at (647) 983-6940 or email contact@mindfulconnectionstherapy.ca. We are happy to talk through whether we are a fit before you send the form.

Download the MVA referral form