Name (required)

Text messaging permission

Can we text message you at this number?

Message

Are you interested in a specific type of therapy/s? If so, please list them.

Availability

Please tell us what your preferred days & times are for counselling sessions.

Session Type

Some of our counsellors offer both in office or virtual counselling sessions, several only offer virtual. To assist us in matching you with a counsellor please select your preference.

Virtual

No preference

In Office

Location Preference

Which location would you prefer?

Counselling Coverage

Do you have coverage for counselling through ICBC, CVAP, FNHA, or another provider? If so, please list.

Student Counselling

Are you open to working with a student?

Yes

Unsure

No