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BounceBack Program- Teen Referral Form (15-17 years old)

Welcome to BounceBack!

Thank you for your interest in our program. To learn more about BounceBack, please visit: https://bouncebackontario.ca/teens/

Note: BounceBack coaches work directly with the teen and therefore the teen must consent to the referral, assessment, and if suitable, participation in the program.

The first step is getting to know you to make sure that this is the right program for you. Please continue to the next page to start the referral.