Counselling Education and Experience

To make the most of your appointments, we request that you fill out the required agreement and intake forms that apply to you prior to your visit. Doing so will also help you better understand the nature of the therapy you will be receiving, along with its benefits and risks. Rest assured that your information will be kept confidential.

Agreement Forms

Informed Consent COVID 19 Child 14 & Under

Informed Consent COVID 19 Teen over 14

Informed Consent COVID 19 Couple

Informed Consent COVID 19 Individual

Telepsychology Services Consent Forms Individual

Telepsychology Consent Form ICBC

Telepsychology Consent Form Teen

Telepsychology Consent Form Couples

Telepsychology Consent Military RCMP

Child Treatment Agreement (Shared Custody)

Child Under 14 Treatment Agreement (Sole Custody)

Teen Treatment Agreement (One Parent)

Teen Treatment Agreement (2 Parents)

Teen Treatment Agreement (Parent Pays; Shared Custody)

Teen Treatment Agreement (Parent Pays)

Adult Individual Treatment Agreement

Adult Treatment Agreement (Third Party Pays)

Couple Treatment Agreement (Same Address)

Couple Treatment Agreement (Different Address)

Family Treatment Agreement (2 Adults)

Family Treatment Agreement (Adult and Teen)

EMDR Information and Consent

Intake Forms

Teen Intake Form

Family Intake Form

Couple Treatment Form

Child Intake Form

One Parent and Teen Intake Form

Couples Intake Form (Different Addresses)

Couples Intake Form (Same Address)

Client Medication Form

Email Use Consent Form (Individual)

Email Use Consent Form (Couple)

Intake adult January 2018 To Whom It May Concern