New ClientsPlease complete the form below and we will reach out to you within 24-48 hours to followup You can also call or text us on Mon-Thurs 10am-8:30pm , Fridays 10am-1pm, and Saturdays 9am-3pm(587)-741-2620 Parent/Guardian Name * First Name Last Name Phone (###) ### #### Email * First Name/Age of Child Type of Support Service In Person Counselling Online Counselling Play Therapy How did you hear about us? Personal referral Professional referral Google Facebook Instagram Area of concern(s) for your teen - in a few words * Thank you!