Intake + Forms
If you wish to schedule an appointment, please complete the INTAKE form and email it to email@example.com or fax to 519-336-3102. Please label it NEW REFERRAL in the subject line.
*We currently have a wait list and if you wish to check the status please contact firstname.lastname@example.org or call us at 519-336-3100.
Additional forms and information can also be found below.
We understand that seeking out counselling can be a difficult process at times. Our clients come from many walks of life, with some taking their own initiative to seek out services, and others being referred by family members, employers, or friends. We ensure that the client’s best interests are kept at the center of our work with them. Our goal is to meet the needs of those who may be looking to resolve personal, social, or psychological difficulties while respecting confidentiality.