You’re in the Right Place

Completing this form below helps us understand your needs and connect you with support that feels right for you. Please share as much as you wish. Our Clinical Director will carefully review your form, complete a therapist match and we will be in touch quickly with next steps.

If you prefer to provide information in a brief phone call, or if you have questions, a Care Coordinator can call you. Just book a Discovery Call at your preferred date/time and we'll reach you. 

And of course, you can call our clinic directly at 416-855-2624.

* The information you share will remain confidential under the provisions of the Ontario Personal Health Information Protection Act (PHIPA). It will be reviewed by our Clinic Director to ensure the right therapist match based on your needs/interest and our Clinical Associates’ specializations.

Therapist Match Form

Client Information

Pronouns (Mark all that apply or write in)
Gender identity *

Contact Information  

Permission to correspond via email or phone? *
(If virtual), are you in Ontario at the time of the appointments? *
Do you prefer online or in-person therapy? *

Clinical Information

Please indicate if you are seeking a specific treatment approach
Are you experiencing any of the following;
Other Symptoms
Payment Options
Please note that our fees range from $200-$335 per 50-minute session. *
I can be flexible for morning or afternoon sessions if my preferred times are not available