Forms can be downloaded and filled out on your device and emailed directly to firstname.lastname@example.org; alternatively, you can print the form at home and fill out manually and email it back, or bring it into the office at the time of your appointment. Third party bookings will only be accepted for people under the age of 18 years of age; all other clients aged 18 and over must book their own appointment by calling the office or using our online booking platform.
Intake Form with Consent for Remote Services (click to download)
- Each client must complete an intake form prior to accessing services. Please download and complete this form prior to your first appointment and either email it to email@example.com or print it off and complete it and bring to your first counselling session. Children under the age of 16 require parental consent to access services; if there is a shared custody arrangement, both parents must sign the form.
- The last page of the Intake form, Consent for Remote Services, MUST be completed if you are accessing remote services via email, phone, or video.
Parent/Guardian Consent for Coaching, Assessment and or Treatment (click to download)