Let us help you find the right counsellor

Please fill out the form below, and our intake team will be in touch within 24 hours. We’re happy to answer any questions you have and help match you with a clinical counsellor or master’s-level intern who best fits your needs and goals. You’re also welcome to call or text 250-258-2696.

Name

First Name

Last Name

Phone

(###)

###

####

Is it okay to leave a voicemail or send an email? If you choose no, we will call but will not leave a voicemail.

Yes

What services are you interested in?

Individual Counselling

Child/Youth Counselling

Family Counselling

Couples Counselling

What is your gender preference for a counsellor?

Male

Female

No Preference

What is bringing you into counselling? Please give us an overview of what you are experiencing or your goals for counselling.

Do you have extended benefits or funding for counselling (such as CVAP, FNHA, AFU)?

Is there anything else you'd like us to know or questions you have.