Secure Intake Form
If you are interested in seeking our services, please take a few minutes to fill out the secure online form (below). The directors will then review your information in order to establish a good match between you and your therapist. If you are only looking for our contact information then please go to the contact page.
To facilitate this process please fill out and submit the following form.
Please note: If you are not comfortable submitting your information online, please feel free to call us at 604-677-3286.
* = required entry