Self Referral Form

Please complete the following form below if you are seeking our help and support. Your information will be kept confidential and only shared with the program providers if needed.

Client Referral Form

Please forward the completed referral form to Lakeland Family Resource Network:

Bag 1006 / 4714 48 Street
Bonnyville, Alberta T9N2J7
Telephone: (780) 201-3499
Fax: (780) 826-6488