#100-1 West Avenue South Hamilton, ON L8N 1A9 Tel. 289-396-9206 Fax. 289-389-1897 contactusatramsayandassociates@gmail.com

How to get counselling after an MVA

1. A telephone pre-screen interview is the first step. 


2. We will submit a request/ application for a psychological assessment to your insurance company following some questionnaires and testing 


3. If approved, you will complete an in-person or virtual psychological assessment at our office or over zoom with a Registered Psychotherapist 


4. If there is a diagnosis as interpreted by Dr. Jason Ramsay, C. Psych, a recommended treatment plan will be put into a report that is sent to your insurance company. 


5. If the plan is approved, you will be connected with one of our Registered Psychotherapists which is supervised by Dr. Ramsay. 

Client Information

Name of Client *
Home/Cell Phone *
Claim# / Policy# *
Referral Date *
Client Address *

Insurer Information

Insurance Company *
Name of Adjuster *
Phone *
Fax *
Email *
Address *

Other Insurance Group Info (extended health coverage)

Company
Policy Holder
Group Number

Referral Contact Information

Referral Name
Referral Address
Referral Phone
Referral Fax
Referral Email
Has the client received psychological treatment?*
YES
NO
Is an OCF 18 Required*
YES
NO
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