Children/Teen Intake Form and Counselling Contract 

 

Please refer to the checklist to make sure all necessary forms have been filled out. 

Intake Form  

Intake Form (on the left) 

Contract and consent of parent/guardian #1 (on the right)

Contract and consent of parent/guardian 

Contract and consent of parent/guardian #2 (on the right)

Please note that we cannot provide counselling without BOTH parental consent forms received. If there is only one parent/legal guardian, then only one form is needed.