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Intake Forms
How to submit an intake form:
1. Download the Intake pdf form below to print out.
2. Fill out the application in writing.
3. Once the form is filled out, email your form to Joelle at: Joelle.roy@migisitreatmentcentre.ca
*All Medical Forms must be filled out by a physician, or nurse (RPNs, RNs, or Nurse Practitioner)
Upcoming Intake Dates:
Consent Form:
2025
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Men's Group: January 6 - February 13
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Women's Group: February 24 - April 3
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Men's Group: April 14 - May 22
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Women's Group: June 2 - July 10
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Men's Group: August 11 - September 17
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Women's Group: September 29 - November 5
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Men's Group: November 10 - December 17
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**Please call to confirm intake dates as changes can be made at any time.**
Medical Form:
Information for Referrals:
Intake Form:
Item Checklist:
Important Information
Admission Criteria
Any Anishinaabe person who:
Is 19 years of age or older
Is abstinent from alcohol and drugs for a minimum of ten (10) days
Is willing to enter into an agreement to abide by house rules (expectations)
Referral Process
Referrals to the six (6) week residential program can be accepted from:
Self-referrals, family, friends
Social services agencies
N.N.A.D.A.P Workers
First Nation Employees
Probation/Parole workers
Intake Process
1. Submit a completed application to Migisi Alcohol & Drug Treatment Centre.
2. Applications are reviewed and assessed by our Centre's staff 2-3 weeks prior to each admission date.
3. Confirmation letters are sent to referral source for clients admission date (upon approval).
Please Note:
It has been the wish of our First Nations people that we do not accept two or more people from the same community for obvious reasons.
Miigwetch!
Priority will be given to members of the 28 First Nations of Treaty #3:
Migisi Alcohol &
Drug Treatment
Centre
Our centre officially opened its doors in July of 1989. The mission of Migisi has been to guide and support anishinaabe people in their journey in a holistic way. We provide a warm & friendly community atmosphere with trained and dedicated staff to assist individuals in their healing journey.
P.O. Box 1340
Kenora, Ontario
P9N 3X7
Phone: (807)-548-5959
Toll Free: 1.888.223.2284
Fax: 807.548.2084
Email: Joelle.roy@migisitreatmentcentre.ca
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