© 2019 The Stable Grounds

located on 55 acres southwest of London, ON

Tel: 905-717-5921

Forms & Next Steps

The Stable Grounds requires the following documents to be submitted for review.  Please fax all forms to 905-727-5312.

DOCTOR MEDICAL INFORMATION FORM

Doctor Medical Information Form - click here to view, save or print

INDIVIDUAL PRE-ADMISSION FORM & MORE INFORMATION

Pre-admission Form - click here to view fill out or save to desktop

  1. To fill out electronically: First save the blank pdf file to your computer, then open the document and fill out electronically.  Save your completed pre-admission form to your desktop.  Open your email and attach the saved document.

  2. To fill out by hand: Print out the pre-admission form and fill out by hand.  Then, scan the document and save to your computer.  Open your email and attach the saved document.

Consent to Use Electronic Communication Form - click here to view, fill out or save to desktop

  1. To fill out electronically: Save the file to your computer, then open the document and fill out electronically.  Save your completed Consent Form to your desktop.  Open your email and attach the saved document.

  2. To fill out by hand:  Print out the Consent Form and fill out by hand.  Then, scan the document and save to your computer.  Open your email and attach the saved document.

What happens after I submit my form? 

When we receive your application form, or the referral form from your caregiver, we will review it and contact you by phone.  At that point, we will arrange a phone conversation for you with one of our therapists to discuss your forms. 

Frequently Asked Questions - click here

Still have questions? Please contact us.

Insurance Coverage or Private Payment Options

INSURANCE

Please contact your insurance company directly to inquire about coverage.

PRIVATE PAYMENT OPTION

If you are registering and paying privately, please contact us directly to arrange details of payment.