Intake Assessment & Application

SHIP’s Central Intake clinical assessment process provides eligible individuals with equal access to housing and support services.

Central Intake Application Form

*Please use the above application for the following services: ACTT, Integrated Seniors, High Support & Supportive Housing

Peel Youth Village Application

Peel Youth Village Community Referral Form

Angela's Place

Central Intake continually monitors and assesses the changing needs of applicants on our wait lists providing a contact person, as required, available to answer questions and offer information about additional resources available through our community partnerships.

Recommendations are based on:

  • Date application submitted
  • Applicant need
  • Current availability of service

Referrals for applications are accepted from family physicians, hospitals, partner agencies, family members and significant others or applicants themselves.

To request information and an application package, call Central Intake at 1-905-795-8742 or follow the link above for a printable copy.

The applicant must sign a consent form, complete a SHIP application form and arrange for a psychiatric report to be submitted to Central Intake within six months of the date of submission.

Please send the original completed application and supporting documentation to:

Attention: Central Intake
969 Derry Road East, Unit 107
Mississauga, ON L5T 2J7 

Please Note:  We must receive the signed, original (not copies or faxes) Consent to Disclose Personal Information form before we can process the application. 

It is difficult to predict how long you can expect to wait since appropriate housing in the area of your choice is subject to availability.

In order to keep your place on the wait list please stay in regular contact with Central Intake, and keep your application up to date. Should your situation or preferences change, contact Central Intake immediately with your new contact information, housing or preference changes.