Important: STAY is not a crisis response service
This referral form is not monitored for urgent or emergency situations. We aim to respond within 72 hours.
If you or someone you know is in immediate danger or needs urgent support, please call 9-1-1 or contact the Crisis Helpline at 9-8-8.
Who can access STAY?
STAY is available for youth who:
- are between the ages of 12 and 18
- reside or attend school in New Westminster, Surrey, or Langley
- may benefit from suicide risk assessment, safety planning, counselling support, or connection to appropriate services
Some individuals may require more specialized or intensive services than STAY can provide. In those situations, we work with referral partners to help connect youth to services that better meet their needs.
Who can make a referral?
Referrals may be submitted by:
- a school counsellor
- a community agency
- a parent or caregiver
- a referring professional
- the youth themselves (self-referral)
What happens after a referral is submitted?
After a referral is submitted, the STAY team will review the information provided, including the safety planning and assessment details. A member of the team may follow up with the youth, caregiver, or referring professional to gather more information and determine next steps.
Please include accurate contact information so the team can follow up.
STAY Referral Form
Before you begin: This online referral form will not automatically collect or save information as you complete it. Please ensure all relevant contact information is included before submitting.
Reminder: STAY is not a crisis response service. We aim to respond within 72 hours. If this is urgent, call 9-1-1 or 9-8-8.
To access services, please complete the referral form. If you experience any technical issues or do not receive a response back within 72 hours, please email stay.intake@efry.com.
Request for Referral (Self, professional, family)
Phone: 604-520-1166; Toll-Free: 1-888-879-9593
