Counselling Appointment Request Form

Start the conversation

In-person, video & telephone appointments are available. By filling out the Counselling Appointment Request Form below, you are taking the first step towards the change you want to see in your life. There is no obligation to start counselling once you’ve submitted this form. We will have the chance to talk before setting up your first appointment. Once your form is received, we will contact you to discuss your counselling needs further. It can take up to 1 week to respond to your request, due to high volume of requests. Please note our office is open by appointment only. You may also choose to contact us by telephone at 613-825-2681.