Please fill out as much information as possible on the referral form. Once you have completed the referral form you can submit the document to or by fax to (780) 760 3611.  Once the form has been received a worker from the Nations of Treaty 8 Urban Office Fee for Service Program will be in contact with you within 5 business days of submission. If you require assistance, please contact our office and speak with the FFS Coordinator.

Terms and Definitions:

Fee For Service Referral Form

Please complete to access services. If you have any problems please contact our office.

Personal Information

Service Information


Purpose of Request