A referral form must be fully completed and signed by a referring agent. A referring agent can be a superior officer or direct supervisor. If you are a veteran, your referral can also be signed by a Royal Canadian Legion executive member or a Veterans Affairs Manager. The referring agent must then fax, post or email the completed form back to Honour House. We will also require a copy of the letter, doctor’s note or email from your medical facility which clearly confirms the dates of your appointments.

Download The Referral Form